Healthcare Facilitated Enroller

EOE Statement

As an Equal Opportunity / Affirmative Action Employer, It is the Healthcare Association of New York State ("HANYS")'s policy to not discriminate against any employee or applicant for employment because of their race, color, religion, sex, or national origin or because they are an individual with a disability or disabled veteran, Armed Forces service medal veteran, recently separated veteran, or active duty wartime or campaign badge veteran, hereinafter referred collectively as "protected veterans," or any other characteristics protected under applicable law. It is also HANYS' policy to take affirmative action to employ and to advance in employment, all persons regardless of their status as individuals with disabilities or protected veterans, and to base all employment decisions only on valid job

requirements. This policy shall apply to all employment actions, including but not limited to recruitment,

hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay, or other forms of

compensation and selection for training, including apprenticeship, at all levels of employment.

Position

Healthcare Facilitated Enroller

Division

Nassau Suffolk Hospital Council

Description

The Nassau-Suffolk Hospital Council based in Hauppauge, NY, is seeking a full-time Healthcare Facilitated Enroller. Reporting to the Director, Health Insurance Programs, the position holder will be responsible for providing application assistance to special populations for enrollment into government sponsored health insurance programs throughout Nassau and Suffolk Counties. They will also assess the healthcare needs of the applicant and identify the program that best fits their needs and acquire the proper documentation that will best support their application. They will also be responsible in instructing clients about the enrollment process, health insurance, and how to utilize their coverage.

This is a grant-funded position, with the possibility of renewal yearly. The salary range for this position is between $55,000.00 and $61,000.00 annually,

Key responsibilities include but are not limited to :

• Upon hire attend a mandatory company-paid 15-hour online certification training with the NY State Department of Health; complete course requirements and pass all certification tests to become a registered and certified CAC (Consumer Assistance Counselor) with the NY State of Health Marketplace.
• Maintain certification as a NY State of Health CAC by attending all NYS mandatory webinar training sessions during the months of July through October every year; total of approximately 25 hours of company-paid online training each year; failure to complete training within the time-frame will result in loss of NYS certification; if there is a loss of certification, you will be required to re-take the mandatory, company-paid 15-hour certification training with NY State Department of Health and complete course requirements, which includes passing all certification tests.
• Attend training provided by Nassau-Suffolk Hospital Council to remain knowledgeable and current with all state and local rules and requirements of the following programs : Medicaid, Medicaid Buy-In for Working People with Disabilities (MBI-WPD), Medicaid Spend-down, Medicare Savings (MSP), and Medicaid for Institutional Care in a Nursing Home. Additional trainings regarding the Medicare Telephone Assistant program will also be provided, including an overview of the Medicare program.
• Provide application assistance to special populations for enrollment into government sponsored health insurance programs throughout Nassau and Suffolk counties for the following programs : Medicaid, Medicaid Buy-In for Working People with Disabilities (MBI-WPD), Medicaid Spend-down, Medicare Savings (MSP), and Medicaid for Institutional Care in a Nursing Home.
• Assess the healthcare needs of the applicant and identify the program that best fits their needs; acquire the proper documentation that will best support their application.
• Interact with applicants at assigned sites in the community, office, and by phone; work independently at these site locations; schedule follow-up appointments with applicants as needed; arrive on-time to all sites to set up and be ready to enroll at time session begins.
• Instruct eligible applicants about Medicaid managed care and how to access benefits in a managed care environment; provide applicants with information about their right to appeal their eligibility decisions to the local departments of social services; provide them with documentation to help support their appeal.
• Maintain data of all applications started in the internal data tracking system of NSHC; monitor applications until completion; provide case notes on a regular basis to document all work performed on the case.
• Monitor all applications started and submit within the required timeframes; late submissions will result in coverage being delayed and / or denied for an applicant.
• Process and complete a minimum of 25 paper applications per month for aged, blind, and disabled populations, and their families.
• Process and complete a minimum of 30 applications in the NYSOH online marketplace for all populations, including those being transitioned from the local DSS office (paper applications) to the NYSOH (online applications).
• Provide outreach as assigned to increase overall enrollment that will help all staff meet grant productivity deliverables (i.e., postcard campaigns, letter writing, staff occasional health fairs, document your outreach and assistance work using the CHA forms - 10 per month)
• Maintain confidentiality of information contained in the application packet for government sponsored health insurance programs, as well as information contained in supporting documentation; secure all applications and documents in locked cabinets and safeguard keys; HIPAA and yearly internal information security training sessions must be attended, and protocols must be followed as specified by HANYS.

Qualifications

Position Requirements

About the Organization

HANYS is the only statewide hospital and continuing care association in New York. We are located near Albany and represent 500 not-for-profit and public hospitals, nursing homes, and other healthcare organizations. Our members are not only the largest providers of inpatient and outpatient care, and essential providers of primary care, they are among the largest employers in many communities.

We harness the power of a unified statewide membership and collaborate with regional, state, and national associations. HANYS advocates before Congress, the Governor's office, the State Legislature, and state and federal agencies. We also provide education, data analytics, quality improvement initiatives, and operational assistance to help our members navigate the complexities of healthcare reform, and achieve the 'Triple Aim' of better care, better health, and lower costs.

This position is currently accepting applications.