Insurance

• Educate consumers on Affordable Care Act (ACA) Marketplace health insurance options
• Assess individual and family coverage needs and explain available plan options
• Explain premiums, deductibles, copays, provider networks, prescription coverage, and other plan features
• Guide consumers through the ACA Marketplace application and enrollment process
• Provide professional, consultative customer service
• Maintain accurate customer information, application details, and enrollment documentation
• Follow up with prospective and enrolled consumers
• Meet sales, conversion, quality, productivity, attendance, and customer experience expectations
• Maintain compliance with CMS, Marketplace, carrier, licensing, and company requirements
• Maintain required insurance licenses, certifications, carrier appointments, and Marketplace credentials
• Participate in ongoing training, coaching, performance development, and team meetings
• Navigate multiple computer systems and applications while assisting customers
• Perform additional duties as assigned

Licensed ACA Health Insurance Agent, NM

• Meet regularly with dialysis patients at clinics in the assigned region to educate and coordinate insurance options
• Educate patients about Medicare, Medicaid, Medicare Supplement, State Renal programs, COBRA, and alternative insurance options
• Ensure patients follow through with insurance application processes
• Obtain premium statements and patient signatures
• Complete and follow up on disputed claims paperwork
• Collect documents for indigent waivers and complete initial indigent waiver applications
• Determine Medicare eligibility and assist eligible patients with applications
• Liaise between patients and local Medicare agents regarding terminations and reinstatements
• Review insurance options during annual open enrollment and Medicare reinstatement periods
• Track 30-month coordination periods for patients on employer Group Health Plans
• Monitor and verify Medicaid status and determine spend-down amounts
• Evaluate patient financial information for indigent program determinations
• Maintain accurate and updated insurance information for Revenue Cycle Management
• Research and resolve insurance information anomalies and discrepancies
• Meet with patients receiving direct insurance payments to explain their responsibilities
• Prepare, analyze, and review monthly caseload progress reports
• Audit billing-system patient reports and correct insurance discrepancies
• Provide QA team members with monthly insurance status information and action-plan documentation
• Complete monthly audit exams
• Review and comply with company policies, laws, and regulations
• Assist with projects assigned by the direct supervisor and perform other duties as assigned

Insurance jobs in New Mexico

Licensed ACA Health Insurance Agent, NM

Insurance Coordinator