EHIP Payment Administrator

Description

The Insurance Payment Administrator provides operational support for the Washington State Department of Health HIV Insurance Benefits Management Program administered by Lifelong, known as the Evergreen Health Insurance Program (EHIP). The Payment Administrator is responsible for administrative, accounting, and reporting tasks that help keep people living with HIV/AIDS insured and supports the work of the EHIP management team. The Insurance Payment Administrator reports to the EHIP Sr Program Manager. This is a regular full-time, non-exempt, union position.

Qualifications

Essential Duties:

• Premium Coordination: Under the direct supervision of the EHIP Sr Program Manager, coordinate the timely and accurate payment of all insurance premiums. Coordinate with EHIP Program staff to ensure proper communication, planning, and preparation of payments and processes related to insurance premium payments. Maintain and update accurate information related to premium payments using tools and resources available including client databases.
• Check Printing: Oversee, manage, and coordinate the weekly, monthly, and quarterly check printing process. Review check requests, conduct audit sample of check request, authorize printing, and distribute check stock. Maintain adequate fiscal controls of payments and check stock. Ensure timely payment of insurance premiums. Maintain adequate cash reserves, monitor and track invoices and payments to and from department of health. Verify eligibility of every payment prior to releasing.
• Communication: Maintain effective, timely, and thorough communication in all direction to ensure co-workers, partners, community stakeholders, clients, funders, and management are well-informed and knowledgeable of the status of the client issues and any program and related issues or projects. Keep clients and case managers apprised of adjustments and changes in the program.
• Client Service/Quality Assurance: Ensure the highest quality service delivery in a culturally appropriate manner by maintaining quality and customer service standards and expectations. Work with vendors and clients to respond to complaints, enquiries, and questions. Maintain secure and confidential client information
• Technical knowledge: Serve as a technical resource on matters related to COBRA regulations, Washington state insurance laws and regulations, Medicare, Medicaid, insurance plans, the insurance marketplace, the Affordable Care Act, and state-funded insurance programs. Be an expert on matters related to ADAP, insurance enrollment, and EIP enrollment. Assist clients and case managers to determine appropriate insurance. 
• Research and Analysis: Engage critical thinking skills to conduct thorough and comprehensive analysis and research. Analyze data and information to ensure correct, thorough, and appropriate action is taken to respond to client application and/or vendor accounts. Conduct thorough research and complete investigations in matters related to fiscal and financial anomalies in the program.
• Program Coordination: Maintain and track data and reports pertaining to insurance program as directed. Process reports and data requests from Program Management and/or DOH. Ensure complete and accurate case notes in client database. Monitor and order office supplies. Oversee and facilitate all incoming and outgoing mail. Process insurance verification from carriers and vendors.

Core Competencies:

• Attend and participate in team and all-staff meetings.
• Participate in Lifelong Team Building trainings and events.
• Participate in Lifelong’s Employee Performance Management Process.
• Demonstrate ability to work effectively and productively with others (including supervisors, colleagues, volunteers, and clients).
• Regular and reliable attendance, with regular and reliable hours as defined by your supervisor.
• Knowledgeable about the progression and treatment of HIV/AIDS.
• Demonstrate ability to work with people of diverse socio-economic backgrounds, ethnicities, beliefs, sexual orientations, and lifestyles.
• Maintain confidentiality of financial, donor, and client records.

Education and Experience: 

• Bachelor’s Degree in related field, or combination of related education and work experience.
• Three or more years of relevant experience.
• Able to organize and prioritize multiple projects and meet deadlines in a time-sensitive environment.
• Detail oriented with a high level of accuracy.
• Experience with project planning, implementation and evaluation.
• Possess an understanding of professional boundaries.
• Demonstrated skills and strong working knowledge of Microsoft Office suite of applications, including Excel, Access, and Word.
• Experience working with Dynamics or similar accounting software.
• Ability to communicate clearly and professionally in both verbal and written form.
• Professional phone skills.
• Comfort with public speaking and public outreach.
• Proven ability to work independently and in a collaborative team environment.
• Experience with group facilitation, conflict resolution and a working knowledge of organizational development issues.
• Ability to respond quickly to change.
• Ability to develop good working relationships with internal and external customers.

Work Environment:

• Demonstrated ability to work effectively under stressful conditions.
• Ability to lift 25lbs on occasion.
• The position is full-time (40 hours/week) working on-site at the Georgetown location, but there will be opportunities to work remotely on occasion.
• Any offer of employment is contingent upon passing a criminal background check. Some programs may require additional background checks or frequency.

About Lifelong:

Lifelong is a community health organization committed to removing barriers to health with relentless compassion so that no one faces illness and injustice alone.

We lead with heart. Our respect for people drives our mission. For 40 years, Lifelong has fought health inequities so that everyone can have the opportunity to thrive. Our comprehensive services include food and nutrition, healthcare navigation, aging and disability support, and connection to housing and other vital resources.

We are looking for passionate, dedicated people to join our talented team and make real, meaningful changes in the daily lives of those living with chronic and life-threatening illnesses in their community. Lifelong offers exceptional benefits, including paid time off, medical and dental coverage in addition to a balanced work-life integration.

Don’t meet every single requirement? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At Lifelong, we are dedicated to building a diverse, equitable, inclusive and authentic workplace, so if you’re excited about this role but your experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles.

EEO Statement:

Lifelong is committed to creating an accessible, supportive environment and experience that recognizes diversity and cultural competence as integral components of what we do. 

We are an Equal Employment Opportunity Employer and as such, we do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

_____________________________________________________________________________________

DISCLAIMER: INTENT AND FUNCTION OF JOB DESCRIPTIONS

Job descriptions are not intended as and do not create employment contracts. The organization maintains its status as an at-will employer. Employees can be terminated for any reason not prohibited by law.
 

Job descriptions assist organizations in ensuring that the hiring process is fairly administered and that qualified employees are selected.  They are an integral part of a compensation system, effective performance review system, related promotion, transfer, layoff, etc. decisions.

All descriptions have been reviewed to illustrate the job functions and basic duties, in addition to peripheral tasks or that could generally be considered as “other duties as assigned”.

In no instance, however, should the duties, responsibilities, and requirements be interpreted as all-inclusive. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Requirements, skills, and abilities included have been determined to illustrate the minimal standards required to successfully perform the positions.