Community Health Insurance Navigator - AnMed

AccessHealth Anderson is a program to assist qualifying low-income adults without health insurance in Anderson County. AccessHealth works to increase access to quality health care, affordable medication and to increase health insurance coverage for residents in Anderson County. The Community Health Insurance Navigator (CHIN) is a part of the AccessHealth program and will be responsible for outreach, education and health insurance coverage navigation for individuals who are uninsured or underinsured. This position is based in community and will actively seek out the uninsured residents with a primary focus on the unhoused who are low-income, individuals of racial or ethnic minority groups, disabled individuals, unemployed individuals, re-entry individuals and individuals with limited to no computer access or literacy. The CHIN provides enrollment and application assistance, coordinates enrollment events, builds and strengthens relationships with local partner organizations, and helps with other outreach events as needed. The CHIN assists with healthcare payor options, prescription assistance and/or other benefit programs and may provide limited health coaching and advocacy to improve healthcare utilization. The CHIN will work with individuals in-person, telephonically or virtually. In-person visits might include medical home visits, bedside visits, and/or community visits. The CIN will work with many diverse types of partners including health care providers, managed care plans, human service organizations and community-based organizations. The CHIN will remain knowledgeable of health insurance options, policies, regulations and available health insurance options. Additionally, the CHIN will remain knowledgeable of community resources and will be apt to share, educate, and disseminate appropriate information to assigned communities.

SPECIFIC DUTIES AND RESPONSIBILITIES

• Conduct public education activities to raise awareness about coverage options available under Medicaid, CHIP, and the Marketplace to individuals in Anderson County, Oconee and Pickens County and the larger community.
• Help individuals understand, apply, and access affordable insurance options.
• Activities include but are not limited to completing coverage applications, gathering required documentation, troubleshooting the enrollment process, advocating for patient’s needs, and providing timely follow-up on all applications.
• Offer renewal assistance for individuals with health insurance.
• Work with community partners including other non-profit organizations, medical clinics, health departments, churches, libraries, job-training programs and other stakeholders to coordinate outreach efforts and connect with uninsured individuals/families.
• Distribute outreach materials to patients, community members, partner organizations and businesses to build awareness of available resources and programs.
• Develop, discover and attend community events in order to promote coverage options and the mission and services of the organization.
• Collaborate with other partners in the region (e.g., health centers and providers) to ensure that outreach and enrollment assistance activities are coordinated with other local, regional, and/or state-wide outreach and enrollment assistance efforts.
• Collaborate with various local organizations and community partners to build awareness of coverage options, increase enrollment and build referral linkages.
• Capture patient stories and issues related to the enrollment process.
• Accurately track assistance and enrollment numbers and provide required information in a timely manner for regular reports.
• Provide information in a fair and impartial manner which is culturally and linguistically appropriate, and disability accessible, for the populations being served under the Exchange, including individuals with limited English proficiency.
• Must not receive any consideration directly or indirectly from any health insurance issuer or stop loss insurance.
• Must not act as a tax advisor, attorney, or give tax or legal advice.
• Must not be licensed to sell insurance or must be willing to cancel such license
• Attend and successfully complete all required training programs; participate in ongoing conference calls, webinars, and other professional development opportunities.
• Assists in other related duties as assigned and as needed.

EDUCATION/QUALIFICATIONS

Required Qualifications include:

• A high school diploma or equivalent is required.
• Bachelor's or associate Degree, preferred.
• Current SC CHW certification required (or obtained within one year of employment)
• The ability to travel by the use of a personal vehicle with a current state driver’s license and auto insurance.
• Once hired, successfully complete and pass the Certification Training to be provided by
• Able to work some nights and/or weekends, particularly during months of open enrollment

Preferred Qualifications include:

• Any combination of three (3) years health/social services experience
• Bilingual speakers, specifically Spanish, highly encouraged to apply

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