Federal Navigator I (Bilingual)

El Centro Del Barrio•San Antonio, TX

1d•Onsite

About The Position

As part of the Federal Navigator Grant and under the supervision of the Manager, the Navigator I, position involves meeting and interviewing Community Health Center patients and other community members to determine eligibility and facilitate enrollment in various health programs, including Medicaid, CHIP, Title V, Primary Health Care, Methodist Healthcare Ministries, and Qualified Health Plans (QHP) through the Federal Marketplace. The role requires maintaining current knowledge of patient eligibility status, enrollment protocols, and changes in program specifications. This role includes assisting patients in making informed decisions regarding their health plans and ensuring the security and confidentiality of consumer information. The Navigator will be required to complete up to 30 hours of Navigator training through CMS and the HHSC Community Partner Program to obtain consumer assistance certification and will be required to recertify on an annual basis.

Requirements

Education: High School Graduate or equivalent
Experience: At least 6 months’ experience in a health care setting – preferably a public health setting.
Other: Strong oral and written communication skills.
Ability to work effectively and professionally in a fast-paced environment.
Knowledge of and ability to work with the uninsured, underserved and under-represented populations.
Must have advanced computer skills and experience with Word, Excel, Outlook, Publisher and PowerPoint programs.
Must be able to type at least 40 wpm.
Spanish and English bilingual preferred.
Must be able to perform the essential functions of the position.
Must be able to meet the attendance requirements of the position.
Work must be performed on-site as designated
Must not pose a threat to the health or safety of other individuals in the workplace.
Physical ability to lift up to 20 pounds unassisted.
Must be able to deliver excellent customer service, externally and internally

Nice To Haves

Spanish and English bilingual preferred.

Responsibilities

Evaluates patient’s eligibility using the VeritySource Medicaid Eligibility System and provides application assistance for health programs like Medicaid, CHIP, and QHPs.
Maintain up-to-date knowledge of eligibility, enrollment procedures, and program details for various health coverage programs.
Implement outreach and in-reach strategies to promote health insurance availability, especially in under-served and under-represented communities.
Conduct confidential interviews to gather necessary information from patients and potential clients and assist them in applying for services.
Educate the public and patients about available programs, services, policies, and procedures, ensuring information is provided in the consumer’s preferred language.
Ensure the protection and security of a consumer’s personal, confidential and identifiable information in a professional and responsible manner and carry out all measures to prevent from unauthorized disclosures.
Demonstrating and maintaining the standards and requirements of the Health Insurance Portability and Accountability Act (HIPAA).
Prepare and submit narrative and statistical reports daily as required by the Federal Navigator Grant.
Completes necessary forms and maintains complete and accurate records of each prospective client abiding by the company’s confidentiality policies
Assists in training new employees in performing their duties as requested
Comply with TDH, state, and private funding requirements; (ie. Centro del Barrio’s infection control, hazardous materials, and safety policies)
Performs all duties in conformance to appropriate safety and security standards.
Participate in the agency’s Quality Improvement Program
Performs other duties as assigned