Premium Assistance Program Coordinator - Bilingual English/Spanish

Organization/Company Name: 
Project Access NOW
Position Description: 

The Premium Assistance team collaborates with the Classic Program and the Outreach Enrollment and Access Program teams to help community members enroll in health insurance through the Oregon Health Plan or the Federal Marketplace. The Premium Assistance Program Coordinator supports the Program Manager and works closely with insurance carriers, as a third-party payer, for clients enrolled in the Premium Assistance Program. They are responsible for day-to-day operations of the program, such as: communicating with provider and hospital billing offices and advocating for and navigating insurance for clients.

The Program Coordinator works with the Program Manager to analyze and advise on strategic direction of the program, ensure compliance with HIPAA, cultural effectiveness, and language accessibility. This position requires a person who is flexible, self-directed, adept at change management who pays great attention to detail, communicates clearly and respectfully, is resourceful, highly analytical and a creative problem solver.

Principal Duties & Responsibilities

Work closely with Program Manager to oversee the financial and operational day-to-day program activities, ensuring adherence to program budget

Work with Program Manager to review, improve and implement workflows, implement strategic direction, program policies and procedures, troubleshoot problems, and ensure adherence to organizational and programmatic policies

Work effectively with external stakeholders including insurance carriers, community partners and volunteers to establish strong lines of communication and foster/maintain positive relationships to ensure continuity of funding and program services

Work internally with all teams to align programs, improve workflows, and support interconnectedness within the organization

Ensure compliance with HIPAA including management and maintenance of electronic files

Other duties as assigned

Program-Specific Duties & Responsibilities

Support the Program Manager in coordinating all aspects of the Premium Assistance Program.

Work closely with insurance carriers to ensure premium payments are made for all clients enrolled in Premium Assistance

Troubleshoot enrollment and payment issues by working closely with clients, insurance carriers, the Federal Marketplace, and state Medicaid agency as needed

Support the Program Manager to collect, analyze, and report data regarding finances, enrollments, and trends in the program

Coordinate activities of temporary program staff and be available to work extended hours during open enrollment

Screen referred clients to identify appropriate health insurance options, provide navigation per Affordable Care Act and state regulations, and refer to resources as needed

Assist local communities in applying for Medicaid and Marketplace coverage and advocate for clients on matters with the Federal Marketplace, the state Medicaid agency, and their insurance carrier

Create and revise program documents as needed

Ability to manage multiple priorities with a range of timelines and tasks, being flexible and adjusting as needed

Ability to work in a fast-paced environment while maintaining a high level of attention to detail

Ability to occasionally work on evenings and weekends and travel to outreach locations

Employment dependent upon passing a background check to become a Certified Application Assister and completion of state training for Oregon Health Plan and federal training for Marketplace enrollment. Training is provided.

Position Function: 
Administration
Position Type: 
Full Time
Salary: 
$20.00 - $24.50 hourly
Benefits: 

Paid medical, dental, vision, life, disability, FSA, and 401K match

Required Qualifications and Experience: 

Qualifications

BS/BA degree or equivalent experience

Proficiency in Microsoft Office and Microsoft 365 (particularly Excel)

Creative and collaborative, with strong analytical and problem-solving skills are essential

Strong, professional communication skills, both verbal and written

Ability to prioritize multiple tasks and meet deadlines

High level of organizational skills

Ability to develop and facilitate training programs

Ability to analyze processes and determine opportunities for improvement

Bilingual and multicultural staff are highly desired

Knowledge/experience working with State agencies and governmental IT platforms may be required

Working Conditions

Office space with stairs (no ADA access)

Ability to work from home or in the office

Ability to lift 10-20 lbs.

Frequent use of keyboard, 2 monitors, mouse, telephone and/or headset

Address: 
714 SW 20th Pl
Portland, OR 97215
Where Will Work Be Performed?: 
Same as the Employer Address
Application Email: 
Application Address: 
Marilyn Hartzog
Project Access NOW
715 NW 20th Pl
Portland, OR 97215
Application deadline: 
Sunday, August 30, 2020