Exchange Enrollment Facilitator

Northern Nevada HOPES; Reno (NV); On-site; USD 36,000 - 54,000; Full time

Benefits offered by this job

3 weeks PTO in your first year

12 paid holidays annually

Paid Parental Leave (after 12 months)

24/7 Employee Assistance Program

100% employer-paid health insurance

Life insurance options

Job summary

Northern Nevada HOPES is seeking an Exchange Enrollment Facilitator to educate patients on Nevada Medicaid and Nevada HealthLink, assist with enrollment and reenrollment, and ensure patients understand how to access and maintain health coverage. The role includes training staff, handling outreach, and maintaining HIPAA-compliant records in the EMR.

The candidate will stay current on Nevada Medicaid and Medicare rules, support uninsured patients with financial assistance options, and participate

Qualifications

• Clear, effective communication in English (oral and written).
• Knowledge of health care insurance and how Medicaid/HealthLink enrollment works.
• Certification as an Exchange Enrollment Facilitator preferred.
• Spanish/English bilingual preferred.
• Thorough knowledge and experience of the health care industry preferred.
• Excellent interpersonal and organizational skills preferred.
• Ability to build strong working relationships with patients, staff, and the public.
• Ability to read and write clearly and accurately.

Responsibilities

• Educate patients about Nevada Medicaid and Nevada HealthLink and enrollment options.
• Assist patients in enrolling and reenrolling through the Medicaid portal.
• Educate and train staff on Medicaid/Medicare insurance issues.
• Perform outreach to patients with potential changes in eligibility.
• Maintain HIPAA-compliant documentation and confidentiality.
• Document patient interactions accurately in the EMR.
• Communicate patient needs and updates to the team.
• Monitor policy changes affecting coverage and care.

Skills

Effective communication

Health insurance knowledge

Interpersonal skills

Organizational skills

Written communication

Bilingual: Spanish/English

Tools

EMR systems

HIPAA compliance

Job description

JOB SUMMARY: The Exchange Enrollment Facilitator provides education and enrollment assistance related to Nevada Medicaid and Nevada HealthLink to patients to ensure eligible patients receive insurance coverage. The EEF will educate patients on insurance issues, assist them in enrolling in insurance plans through the Nevada Medicaid portal, assist them in reenrolling, and ensure they understand how to access and maintain their health insurance.

ESSENTIAL FUNCTIONS:

• Listen actively to patients’ needs and provide clear, concise information.
• Engage with visitors, patients, vendors, and coworkers professionally.
• Handle incoming calls promptly, professionally, and efficiently.
• Educate patients on how to use the Nevada HealthLink portal.
• Use the portal to enroll and reenroll patients in insurance.
• Responsible for training other staff on Medicaid and Medicare insurance issues.
• Completed all outreach to patients whose insurance may be near lapsing and need renewal.
• Manage schedule to ensure patients are seen in a timely fashion to enroll and reenroll in insurance.
• Stay up to date on changes to Nevada Medicaid and Medicare.
• Maintain uptodate knowledge of eligibility and insurance verification workflows and policies.
• Assist uninsured and underinsured patients in identifying financial assistance programs promptly.
• Participate in departmental meetings, trainings, workflow updates, and quality improvement activities.
• Ensure accuracy and confidentiality of paperwork, maintaining HIPAA and privacy standards.
• Communicate patient needs and updates via team chats.
• Send telephone encounters to appropriate team members to facilitate patient care.
• Document patient interactions and updates accurately in the EMR.
• Notify supervisor of any oncoming changes to policies at Nevada Medicaid and Medicare that may affect patient coverage or care.
• Manage challenging patient interactions using deescalation techniques.

MINIMUM QUALIFICATIONS:

• Ability to communicate effectively, both orally and in writing required.
• Knowledge of health care insurance required.
• Certification as an Exchange Enrollment Facilitator preferred.
• Spanish/English bilingual preferred.
• Thorough knowledge and experience of the health care industry preferred.
• Excellent interpersonal and organizational skills preferred.
• Ability to establish and maintain effective working relationships with a wide variety of people, including employees, patients, and the general public preferred.
• Ability to read and understand written materials and ability to compose information and instruction in written form preferred.

At HOPES, we’re more than just a healthcare provider — we’re a team of changemakers dedicated to delivering affordable, high-quality medical, behavioral health, and support services to everyone in our community.

Why Choose HOPES?

• PurposeDriven Work

Be part of a team that’s transforming lives every day. Your work will directly contribute to improving health outcomes and building a stronger, healthier Northern Nevada.

• PeopleFirst Culture

At HOPES, every team member is encouraged to bring their unique talents and perspectives to the table. Collaboration and innovation are at the heart of everything we do.

• Career Growth and Development

We invest in your future by offering a mentorship program, leadership and soft-skills training, networking opportunities, and support for continuing education.

• Exceptional Benefits

• 100% employer-paid health insurance
• Life insurance options
• 3 weeks of PTO in your first year
• 12 paid holidays annually
• Paid Parental Leave (after 12 months)
• 24/7 Employee Assistance Program
• Click HERE to view a full list of benefits

Due to real and potential conflicts of interest that exist when HOPES Behavioral Health providers render services to their coworkers, it is HOPES’ policy (Policy HR0005) that HOPES employees may not access HOPES Behavioral Health Services. For the same reason, current Behavioral Health patients/clients cannot be employed by HOPES. Accordingly, you hereby acknowledge and understand that if you are receiving services from a HOPES Behavioral Health provider at the time you are offered and accept employment with HOPES, you have the option of rescinding your acceptance of employment or finding a new behavioral health provider outside of HOPES before starting employment with HOPES.