Insurance Case Management Specialist

POSITION TITLE : Insurance Case Management Specialist

REPORTS TO : Patient Services Supervisor

POSITIONS MANAGED : None

STATUS : Non-Exempt

SUMMARY :

The Insurance Case Management Specialist is responsible for acting as a bridge between healthcare resources and patients to promote health and improved health outcomes. Assist patients with access to health insurance benefits and resources.

SALARY

This role has a target salary of $50,000 to $58,000 annually, based upon various factors including location, experience, and education.

JOB RESPONSIBILITIES

Assist individuals in obtaining health insurance to meet their healthcare needs

• Assess patient's current and historical insurance status, healthcare needs, and resource availability
• Use extensive knowledge of health insurance, including pharmacy benefit plans and plan formularies, to determine insurance needs of the patient.
• Partner with patients to secure health insurance coverage and benefits with the patient ultimately choosing a plan that best meets their needs.
• Advocate and act in the best interest of the patient with insurance and COBRA administrators, when applicable
• Follow up as necessary with patient until eligibility for insurance coverage is determined or awarded
• Stay current on various health insurance related legislation
• Provide status updates in accordance with the program parameters
• Monitor cases on an ongoing basis and provide additional resources, developing a schedule to follow up with patients
• Develop and maintain partnership with ACCESS team to ensure referral for eligible services

Conduct benefits investigations

Educate and empower patients on healthcare topics

Maintain a Caseload of Individuals for contracted programs

QUALIFICATIONS

Accessia Health is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected characteristic. We are committed to fostering a diverse and inclusive workplace where all team members feel valued and respected.