Marketplace Enrollment Specialist

Job Duties

The Marketplace Enrollment Specialist is a member of the Enrollment & Financial Services and Outreach teams, responsible for screening/enrollment/advocacy and navigation of financial programs on behalf of patients including, but not limited to OWCHC, State, Local and Federal programs, specifically the Health Insurance Marketplace. The Marketplace Enrollment Specialist will assist patients and community members with understanding and completing enrollment process through the Health Insurance Marketplace exchanges.  The Marketplace Enrollment Specialist will also discuss treatment plans and costs with the patient and help create a payment plan that falls within the set policies of the billing office if necessary.  The Marketplace Enrollment Specialist will work collaboratively with all office staff to ensure a well-executed financial plan is established for the patient.

• Eliminate barriers, increase interest, and motivate OneWorld patients and non-OneWorld patients to enroll in coverage.

• Implement outreach and education techniques likely to increase awareness of the opportunity to enroll in the Health Insurance Marketplace or other eligible programs.

• Maintain caseload of patients as determined by the program specific guidelines. Makes and coordinates referrals and follow-up appointments. 

• Provide intake on clients as directed per clinic session (internal financial programs, Medicaid, Marketplace, etc.).

• Interpret OneWorld Community Health Centers and other agency activities, policies and services for clients. Make and coordinate appointments in OneWorld clinics and specialty clinics.

• Educate and work with families to prevent denial due to failure to submit documentation necessary for approval.

• Assist in new-hire training and orientation to EFS department.

• Inform patients of our billing and collection policies including payment plan, bad debt, reclassifications and other revenue generating duties.

​​​​​​​The tasks outlined above are intended to provide a general overview of the role and are not an exhaustive list of all duties, responsibilities, or job functions. Additional tasks may be assigned as needed to support the business, and responsibilities may evolve to meet the changing needs of the organization. 

• High school diploma required.  Additional continued education preferred. 

• Ability to complete Medicaid training and agency orientation within the first 30 business days

• Application Counselor Certification through the Health Insurance Marketplace required (if ability to complete within first 60 days).  

• Medical office experience – experience in a finance department or equivalent education in related field of study preferred.

• A foundational understanding of health care billing, reimbursement, insurance, and/or accounting practices, with willingness to learn new insurance exchange practices.

• Ability to work independently, organizing time but committed to the team function with minimal supervision. 

• Possess high attention to details and organizational skills; the ability to establish and maintain appropriate filing system for the retrieval of needed information. 

• Ability to build rapport with diverse populations and backgrounds; 

• The ability to relate effectively to providers, patients, and representatives of third-party payers and the ability to work as a "team" member of the medical office staff.

• Ability to create innovative ideas and implement new ideas or processes.

• High comfort level with computer programs, word processing, data management, and medical charts, or willingness to learn.

• Competent in English and Spanish written and verbal.

• Reliable transportation, valid driver’s license and insurance with good driving record. 

• Demonstrate strong written communication as well as verbal presentation, and public speaking skills.

• Flexible schedule (may work days, evenings, or weekends).

• Professional demeanor.

OneWorld Community Health Centers, Inc. provides a competitive benefits package that includes Medical, Dental, and Life Insurance; Tuition Reimbursement; 401(k); free fitness center, and more.  If you want to apply your unique skillset to a diverse, caring, growing nonprofit that serves 50,000 patients, please apply.

You can make a difference – in your life and the lives of others.

OneWorld Community Health Centers, Inc. is committed to ensuring equal opportunity and non-discrimination in all hiring and employment practices.  We are committed to equal treatment for all applicants and employees and will not discriminate based on age, race, color, ancestry, national origin, disability, sex/gender, gender identity, sexual orientation, religion, pregnancy, genetic information, veteran status, or any other basis protected by law.

 Equal Opportunity Employer