Health Insurance Navigator I

HealthPoint Careers • Renton, WA

19d

About The Position

The Health Insurance Navigator I helps HealthPoint patients and community members access health insurance and support services by assessing eligibility, completing applications, and explaining insurance and public benefit programs. The role supports continuity of care and helps prevent uninsured periods and coverage gaps through accurate enrollment, clear communication, and timely follow-up. It may require occasional travel between sites to provide coverage.

The Navigator assists with programs including Medicaid (Apple Health), Qualified Health Plans, Medicare Savings Programs, Basic Food, and Family Planning. The role explains eligibility decisions, plan options, coverage, costs, and required next steps in plain language; supports patients in choosing plans; and helps resolve enrollment and coverage issues with relevant agencies and organizations. It also maintains compliant documentation, monitors application and renewal status, participates in enrollment periods, supports outreach and education, and contributes to service improvement. The position requires active Washington Healthplanfinder Navigator certification within one month of hire and ongoing maintenance of that certification.

HealthPoint describes itself as a nonprofit, community-based, community-supported, and community-governed network of health centers founded in 1971. Its mission is to provide high-quality care regardless of a person's financial circumstances, language, or health. The compensation range is $24.17–$35.53. Individual offers depend on job requirements, qualifications, relevant skills and experience, education, and internal equity.

Requirements

• Associate’s degree with a human service-related focus, or two to three years of experience in health benefits or healthcare financial eligibility screening, or an equivalent combination of education and experience.
• Washington Healthplanfinder Navigator Certification required within one month of hire and maintained in active status, including required ongoing training, testing, background checks, and recertification.
• Ability to read and interpret technical and complex documents.
• Ability to write routine correspondence, such as letters and memos.
• Ability to present information in one-on-one and small-group situations to internal or external clients.
• Proficiency with computer systems and intermediate skills in Microsoft Word, Excel, and Outlook.
• Ability to learn, navigate, and accurately use multiple eligibility, enrollment, documentation, and reporting systems.
• Comfort working in a fast-paced, technology-driven environment, managing multiple applications simultaneously, and adapting to system updates and changes.
• New hires must provide documentation of required vaccination and/or immunity before their start date: COVID-19 (Johnson & Johnson vaccine alone is not accepted), MMR, varicella, annual influenza, and TB QuantiFERON Gold titer draw. Employees working in a HealthPoint clinic must also provide Tdap vaccination within the last 10 years; Hepatitis B vaccination is required for clinical positions with potential exposure to blood or bloodborne pathogens. HealthPoint can provide required vaccinations or immunity titers at no cost if documentation is unavailable.

Responsibilities

• Assist clients with eligibility screening, applications, renewals, and recertifications for Medicaid (Apple Health), Qualified Health Plans, Medicare Savings Programs, Basic Food, Family Planning, and other assistance programs.
• Explain health insurance, public benefits, plan options, coverage limits, patient responsibilities, eligibility decisions, and next steps in clear, plain language tailored to patients’ understanding.
• Help patients select insurance plans suited to their healthcare needs, financial circumstances, and coverage requirements, and provide guidance about subsidies and other financial assistance when applicable.
• Translate complex eligibility and insurance information into actionable guidance, and confirm patient understanding verbally and in writing when appropriate.
• Communicate sensitive or unfavorable information respectfully and in a solution-focused manner.
• Complete applications, renewals, plan changes, and insurance assignments accurately and on time; contact appropriate agencies and organizations on patients’ behalf to resolve enrollment, eligibility, or coverage issues.
• Maintain complete, timely, and compliant documentation in approved systems while protecting confidential information in accordance with applicable privacy and data-protection requirements.
• Monitor application and renewal status and follow up proactively to prevent delays, denials, or coverage gaps.
• Troubleshoot complex enrollment issues, discrepancies, and coverage concerns, coordinating with external partners when needed.
• Maintain effective working relationships with Washington Healthplanfinder, the Health Care Authority, DSHS, Public Health, managed care organizations, community-based organizations, and other partners.
• Review, create, and act on reports that may require outreach to patient populations, including uninsured, unengaged, and aging-out patients.
• Participate in Annual Enrollment and Open Enrollment, share updates and performance information with sites, and serve as a point of contact for questions.
• Represent HealthPoint at in-person or virtual community outreach and education events as determined by leadership.
• Attend required internal and external meetings, which may include presenting information or program updates.
• Assist with developing and implementing outreach activities and materials to improve access, enrollment outcomes, and customer service.
• Implement ways to collect data on service access and enrollment issues, such as surveys, questionnaires, reports, and time logs, and identify opportunities to improve systems.
• Contribute to a positive, collaborative, accountable work environment and demonstrate professional behavior and commitment to HealthPoint’s mission and values.
• Perform other duties as assigned by the supervisor and participate in staff meetings, trainings, committees, and work groups as requested or appropriate.
• Travel occasionally between sites to provide coverage as needed.

Benefits

• Medical, dental, and vision insurance for employees and eligible dependents.
• Health savings account (HSA) and flexible spending account (FSA) options.
• Employer-paid life insurance, AD&D, and disability coverage.
• 401(k) retirement plan with employer match.
• Paid time off (PTO), Extended Illness Time Away, eight paid holidays, three floating holidays, Compassion Time Away, and Opportunity Time Off for extended personal time away.
• Employee Assistance Program (EAP) and employee wellness program.
• Voluntary supplemental life, critical illness, accident, identity theft, and pet insurance.
• Professional development, ongoing learning, and career growth opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree