kynector

PACS Pennyrile Allied Community Services; Marion (KY); On-site; USD 35,000 - 48,000; Full time

Job summary

PACS Pennyrile Allied Community Services seeks a qualified candidate to serve as a health insurance outreach and enrollment support specialist in Kentucky. You will assist consumers with insurance choices, explain subsidies and plan details, and help people enroll in appropriate Qualified Health Plans.

The role emphasizes clear, impartial information, cultural and linguistic accessibility, and coordination with state agencies to resolve questions, grievances, or enrollment issues while

Qualifications

• Strong computer skills.
• Excellent written and verbal communication.
• Reliable transportation and a valid driver’s license.
• Must pass background check and pre-employment drug screen.

Responsibilities

• Participate in KYNECT training and certification to understand the portal and program.
• Assist consumers in understanding insurance choices, subsidies, and cost-sharing.
• Help consumers select a Qualified Health Plan with consumer decision control.
• Pursue ongoing education to update job knowledge.
• Maintain expertise in eligibility, enrollment, and program specifications.
• Conduct public education to raise program awareness.
• Provide fair, impartial information, acknowledging Medicaid/CHIP.
• Refer enrollees to health insurance consumer assistance or ombudsman as needed.
• Communicate information in culturally and linguistically appropriate ways.
• Confirm inquiries, research information, and ensure customer understanding.
• Keep reports and records of services performed and individuals assisted.

Skills

Computer skills

Communication skills

Driver's license

Reliable transportation

Background check

Drug screen

Education

HS diploma

Job description

• Participate in training and certification activities to gain understanding of all facets of the KYNECT portal and program
• Assist consumers in understanding insurance choices, federal tax subsidies, public plans, plan benefits, co-payments, and other cost-sharing expenses
• Facilitate selection of a Qualified Health Plan ensuring that only consumers make decisions about in which plan to enroll
• Update job knowledge by participating in educational opportunities
• Maintain expertise in eligibility, enrollment, and program specifications
• Conduct public education activities to raise awareness about the program
• Provide information and services in a fair, accurate, and impartial manner. Such information must acknowledge other health programs such as Medicaid and the Children’s Health Insurance Program (CHIP).
• Provide referrals to any applicable office of health insurance consumer assistance or health insurance ombudsman or any other appropriate state agency or agencies, for any enrollee with a grievance, complaint, or question regarding their health plan, coverage or a determination under such a plan or coverage
• Provide information in a manner that is culturally and linguistically appropriate to the needs of the population being served by the program, including individuals with limited English proficiency, using available tools such as fact sheets, and functions for individuals with disabilities in accordance with the Americans with Disabilities Act and Section 504 of the Rehabilitation Act
• Respond to customer inquiries by confirming understanding of each inquiry, gathering and researching information, assembling and providing information, and verifying the customer’s understanding of the information and answer
• Maintain reports and records as required regarding services performed and individuals assisted

Requirements

• Strong computer skills
• Excellent communication skills both written and verbal
• Reliable transportation and driver’s license
• Must be able to successfully pass a background check and pre-employment drug screen

Education

• HS diploma or equivalent

Pursuant to relevant state and federal laws, it is the policy of PACS to provide equal employment opportunity to all people in all aspects of employer-employee relations without discrimination because of race, color, religion, sex, national origin, sexual orientation, gender identity or expression, ancestry, age, pregnancy or related medical condition, marital or familial status, disability, veteran status, political affiliation, or genetic information.

Employer-employee relations shall include, but not be limited to, hiring, promotion, termination, tenure, recruitment and compensation.