PURPOSE OF POSITION

For over 50 years, Covenant House New York (CHNY) has been a leader in providing a full continuum of shelter, transitional and permanent housing and wrap-around support services for vulnerable homeless, runaway and exploited youth. As the largest provider of runaway and homeless youth services in New York City, CHNY serves more than 1,500 youth and young adults ages 16-24 annually. Our doors are open to all young people who need help, regardless of their race, religion, sexual orientation, gender identity or expression. We provide shelter, housing, education, employment, health, mental health and other services using harm reduction and trauma-informed principles. We also advocate for systemic change through public policy while promoting awareness of critical issues related to youth homelessness. Covenant House New York’s goal is to help each young person find safety and refuge from the dangers of living on the streets and to empower youth now and into the future. We do this through compassion, unconditional love, and absolute respect.

 

The Benefits and Health Insurance Coordinator will be responsible for assisting patients with the identification of and enrollment in insurance benefits. Additionally, the Benefits and Health Insurance Coordinator will communicate with insurance, laboratory testing, and pharmaceutical companies regarding claims, invoices, and contracts, respectively, while working in close collaboration with the Finance Department to resolve financial challenges and maintain a healthy aging accounts receivable.

 

DUTIES AND RESPONSIBILITIES

(Responsibilities to include but not limited to the following)

Be knowledgeable of patients’ rights, and ensure an atmosphere which allows for the privacy and well-being of all patients Guides individuals through the Marketplace’s enrollment process for affordable health insurance. Maintain knowledge and expertise in eligibility, enrollment, and program specifications of the Medicaid/Medicare and CHIP programs and have some basic knowledge and training to provide Qualified Health Plans (QHP) enrollment assistance through the Marketplace Exchange. Conduct monthly in-reach, outreach and education activities to existing health center patients and community residents to promote awareness about coverage options under Medicaid/Medicare and the Marketplace. Meet with patients to determine income eligibility requirements and educates on the availability of alternative insurance options. Works closely with the Outreach Specialist, Intake, and the Residential teams to identify, screen and ensure enrollment of patients into insurance plans. Follow up with eligible individuals who do not complete the enrollment process (e.g., do not complete the application or interview). Follow up with enrolled individuals to ensure that benefits are being delivered and qualifications are being met. Enters service information into the database, produces weekly enrollment reports, and writes post-event reports. Attends staff meetings, training and provides status updates upon request. Ensure proper and timely follow-up to engage patients in care, promote compliance with medical appointments and encourage patient self-sufficiency and empowerment. Assist with collections and prepare and mail patients’ statements each month on a regular billing cycle. Support the Medical Receptionists with sending information, as requested by insurance companies, such as x-rays, charting, narratives, and other documentation for processing the claim, when applicable. Handle all inquiries concerning insurance daily. Collects necessary documents to complete initial and recurring indigent waivers. Track insurance termination end dates for active residents and assist with recertification. When needed, contact local Social Security offices to verify eligibility for Medicaid. Completing the annual open enrollment and Medicaid reinstatement papers with patients who are active residents. Monitoring and verifying the Medicaid status of each patient on a monthly basis and work with the Finance Department to determine the spend down amounts. Monitors all patients' insurance information to ensure that it is updated and accurate for the Accounts Receivable Department. Helps to address any identified anomalies or discrepancies with claims, researches and answers questions, as needed. Special projects as assigned by the Health Center Administrator and other senior leaders. Perform other duties as assigned or needed