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Health Insurance Specialist- Austin, TX
Job Code:2021-SOC-093
FT/PT Status:Social Services
Location:Austin (TX)

Explore our careers page to learn more about the benefits we offer!

Check out our Youtube channel to learn more about Vivent Health!

Videos to explore!

1) The Basics - HIV Prevention and Testing -
2) How is HIV Transmitted? -
3) HIV: Fight Back with HIV Treatment -
4) HIV: Let’s Reset What We Know -
5) HIV: The Goal of Undetectable -

Position Purpose
With the guidance of the Client Access Coordinator, the Health Insurance Specialist is responsible for completing ASA Health Insurance program screening, intakes, and eligibility reviews with HIV+ individuals seeking marketplace health plan, premium, copay/coinsurance, and deductible assistance. The Health Insurance Specialist makes referrals for health care and supportive services.  In addition, the Health Insurance Specialist co-maintains a caseload of clients accessing health insurance assistance only, processing premium payments, assisting with medication co-payments and deductibles, and completing eligibility updates.


Scope of Responsibilities

Vivent Health is one of the nation’s largest providers of HIV prevention, care and treatment services with a budget approaching $130 million and employing over 400 professionals. 

The unique, nationally recognized Vivent Health HIV Medical Home model of care assures that everyone with HIV has access to medical, dental, mental health and social services and provides the best opportunity for patients to achieve high quality health outcomes. Vivent Health also provides aggressive HIV prevention services to gay men, injection drug users and others at the highest risk for HIV infection. 

Vivent Health currently operates in multiple states nationwide. It embraces a Market Culture to increase access to care, enhance quality outcomes and achieve and surpass financial performance expectations and has an aggressive plan to expand into additional states.

Essential Functions

  • Conduct client intakes specific to health insurance premium and/or medication co-payment assistance.
  • Obtain information relevant to the needs of clients by using client-centered and systems theory approaches.
  • Assist in determining client eligibility for various ASA services and other community resources and obtain proper supporting documentation;
  • Provide timely and accurate referrals to community AIDS services organizations, hospitals, and other medical providers as appropriate.
  • Complete Affordable Care Act (ACA) training to assist with enrollment process, educate clients on health plan and provide on-going support after plan is purchased.
  • Provide education on premium tax credits and cost-sharing subsidies, tax filing and reconciliation of tax credits.
  • Maintain caseload of health insurance only clients, providing assistance with insurance premium payments and ongoing medication co-payments/deductibles.
  • Maintain documentation and program notes in client records according to departmental standards by utilizing Provide Enterprise® client database.
  • Conduct chart updates per policy on health insurance clients, and obtain required documentation and verification.
  • Complete client file updates to ensure thorough and accurate documentation of eligibility information and required health insurance assistance documents.
  • Assist in preparing reports for grants and monitoring outcome reports.
  •  Meet deadlines for time sheets, client documentation, and required grant documents.


Required Qualifications

  • Some College, High School Diploma required
  • Degree in related social services discipline preferred
  • Experience working with individuals of diverse cultures, ethnicities, socioeconomic backgrounds, sexual orientations, and gender identifications required
  • Medical third-party billing experience preferred

Preferred Qualifications
  • Bilingual/bicultural skills (fluency in English and Spanish) preferred
  •  Knowledge of HIV/AIDS, mental health, and substance abuse
  • Knowledge of diverse populations, HIV resourced and community resources
  • Ability to work comfortably with diverse populations, with sensitivity to issues concerning HIV and all disabilities
  • Ability to demonstrate good judgment, maintain strict confidentiality standards, and adhere to professional standards as defined by state and federal regulations
  • Ability to make sound decisions in accordance with organization’s policies, procedures, and guidelines
  • Ability to prioritize multiple tasks and competing priorities
  • Ability to establish and maintain good working relationships with coworkers
  • Knowledge of health insurance practices and/or third-party billing
  • Strong oral and written communication skills
  • Skill in operating personal vehicle for department activities and ability to maintain vehicle liability insurance
  • Skill in operating office equipment, such as personal computer, calculator, copier, facsimile machine, and telephone system
  •  Ability to perform routine walking, standing, bending, lifting, and stooping during the course of day


*Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions*

**Equal Employment Opportunity/Affirmative Action Employer* *

Vivent Health is an equal opportunity employer and will recruit, hire, promote and transfer qualified persons into all job classifications regardless of race, gender, religion, skin color, national origin or ancestry, physical disability (including pregnancy) or mental disability, age, gender identity, sexual orientation, legally protected medical condition, family care status, marital status, veteran status, genetic characteristics or any other characteristic protected by federal or state law. Vivent Health complies with other expanded protected classifications that may be mandated by specific county or municipal regulations. As a recipient of federal funding, Vivent Health will not hire nor enter into a contractual relationship with any party that is debarred, suspended, or excluded from federal assistance programs.

*Public Student Loan Forgiveness*

Employment at our organization may qualify you for federal student loan forgiveness programs. We do not directly pay for – nor forgive – federal student loans; however our status as a not-for-profit organization under Section 501 (c) (3), makes us an eligible employer. There may be other determining factors for one to qualify.

Please follow this URL to review one such program and their requirements: