The AIDS Foundation of Chicago (AFC) mobilizes communities to create equity and justice for people living with and vulnerable to HIV and related chronic diseases. We envision a world in which people living with HIV and related chronic diseases will thrive, and new HIV infections will be rare. Our work focuses on improving health equity, preventing new cases of HIV, serving as a collaboration and knowledge center, and being a bold voice for change.
We are seeking for an individual to serve as our Medical Benefits Specialist. The Medical Benefits Specialist is responsible for enrolling eligible Illinoisans receiving Ryan White services in the Cook and Collar Counties, into qualified health plans through the Illinois Health Marketplace, insurance companies, Medicaid, Medicare as well as providing assistance with accessing other supportive services through the Ryan White program. The Medical Benefits Specialist will be required to complete up to 30 hours of training to obtain consumer assistance certification and will be required to recertify on an annual basis at the federal and state level.
Principal functions and responsibilities of this position include the following:
Client Benefits Enrollments
Coordinate efforts with Ryan White-funded agencies to identify individuals to be enrolled in health insurance programs;
Conduct face-to-face and telephone screenings with clients to determine eligibility for Medicaid, Medicare, Health Insurance Marketplace (HIM) and ADAP;
Assist individuals in understanding HIM plans, managed care options for which they are eligible and navigating ADAP applications;
Enroll clients in the appropriate insurance plan they select and document enrollment and navigation activity using the designated client database;
Arrange and conduct in-person insurance enrollments both at AFC and subcontractor agencies.
Training Coordination and Resource Assistance
Arrange and conduct in-reach and outreach activities, including trainings for case managers and clients regarding Marketplace, Medicaid and or CHIP (Continuous Health Insurance Plans) in Cook and Collar Regions;
Function as a resource to case managers and consumers by providing information, assistance and referrals, and taking complaints, or grievances to any applicable office of health insurance consumer assistance or health insurance ombudsman, or any other appropriate state agency or agencies.
Maintain knowledge and expertise by attend trainings and continuing education related to insurance programs as required by AFC including the case management competencies training;
Demonstrate cultural competency when working with clients who may be HIV+, LGBT, homeless, indigent, substance users, mentally ill, non-English speaking, or otherwise marginalized and/or underserved;
Ensure the protection and security of a consumer’s personal, confidential and identifiable information in a professional and responsible manner, according to the standards and requirements of the Health Insurance Portability and Accountability Act (HIPAA);
Attend all Care Team and AFC-mandated meetings;
Travel to all funded agencies;
Assist with agency-wide activities as directed, including Annual Meeting, AIDS Run & Walk, and others;
Protect organization's value and manage risk by keeping information confidential;
Perform other duties as assigned.
Associate’s degree in a human services field and Case management and/or public benefit screening experience desirable.
Bachelor’s degree in the Human Services field (i.e., Psychology, Sociology, Public Health, Social Work).
A basic understanding of the Affordable Care Act (ACA) and Medicaid services.
Bilingual, Spanish-English strongly preferred.
Knowledge, Skills, and Abilities
Exceptionally strong written and verbal communication skills.
Strong attention to detail and the ability to provide efficient, quality service to both internal and external customers.
Solid interpersonal skills along with the ability and willingness to respect and value the differences and perceptions of different groups/individuals.
Ability to effectively and accurately present AFC information and respond to questions from groups of case managers, clients, outside agencies, and the general public.
This position may require non-traditional hours, including evening and weekend hours.
Decisions and criteria governing the employment relationship with all employees at AIDS Foundation of Chicago are made in a non-discriminatory manner, without regard to race, ethnicity, creed, religion, color, sex, sexual orientation, gender identity or expression, age, national origin, citizenship status, military service and/or marital status, order of protection status, handicap, disability (including HIV/AIDS status), or any other factor determined to be unlawful by federal, state, or local statutes.
Internal Number: PRG MBS 221
About AIDS Foundation of Chicago
AFC mobilizes communities to create equity and justice for people living with and vulnerable to HIV and related chronic diseases.
People living with HIV and related chronic diseases will thrive, and new HIV infections will be rare.
To realize our mission to mobilize communities to create equity and justice for people living with and vulnerable to HIV and related chronic diseases, we will:
Improve health equity.
We will increase access to high-quality, comprehensive prevention, care and housing services free from stigma.
Prevent new cases of HIV.
We will reduce new HIV infections through innovative approaches to prevention, care, housing and education with a focus on most-impacted populations.
Serve as a collaboration and knowledge center.
We will be a thought leader and resource center to create and share best practices, innovations and models.
Be a bold voice for change.
We will be a leading voice to mobilize advocates and people living with HIV and related chronic diseases to transform systems, policies, and resources.
Commitment to Priority Populations
Anyone can become infected w...ith HIV, but HIV and related chronic diseases disproportionately impact certain populations in distinct geographic areas. We can have the greatest impact on the HIV epidemic by focusing our efforts on those most-impacted by HIV, based on epidemiological data and unmet need:
• Young Black gay and bisexual men
• Transgender women of color
• Black women living in high-incidence areas
• Latino gay and bisexual men
Factors that drive the HIV epidemic and health inequities that we will address include:
• Sex work
• Drug use
• Lack of access to health care
• Immigration status
AFC will also work to meet the evolving needs of older adults with HIV and long-term survivors.
Commitment to Organizational Excellence
To strengthen AFC as an organization, we will move to a talent management framework, develop staff and Board leadership, implement long-range business planning with a focus on diversity and inclusion, and ident