Insurance Support Specialist

Responsibilities

• Educate and support patients through provider assignment and enrollment processes
• Reconcile plan rosters against practice panels and flag discrepancies
• Educate patients on supplemental benefits like dental, vision, and transportation
• Serve as an insurance navigator for high-risk and dual-eligible populations
• Track LIS (Low Income Subsidy) and mail-order pharmacy enrollment
• Identify and escalate payer assignment issues or systemic plan barriers
• Help patients understand cost-sharing, copays, and deductibles
• Assist patients with pharmacy benefit navigation and manufacturer assistance programs

Requirements

• Strong customer service skills with empathy and professionalism
• Excellent communication skills for patients, clinical staff, and insurance contacts
• Working knowledge of Medicare and Medicare Advantage plans
• Understanding of supplemental benefits, dual eligibility, and LIS/Extra Help programs
• Strong organizational skills to manage a varied caseload
• Ability to navigate ambiguous situations and identify escalation paths

Preferred Qualifications

• Experience with plan enrollment verification or insurance record reconciliation
• Familiarity with pharmacy benefit programs and manufacturer assistance
• Experience using Salesforce CRM
• Experience with Athena Health healthcare operations systems
• Associate’s or bachelor’s degree, or equivalent experience

About the Company

Herself Health is building a new model of primary care for women on Medicare, focusing on specialized needs such as post-menopausal care, bone density, and weight management.