Healthcare Navigator

Saint James Health Inc•Newark, NJ

2d•$20 - $24

About The Position

The Healthcare Navigator provides eligibility and enrollment assistance for Medicaid, CHIP, and Federal Marketplace health insurance programs to health center patients and community residents. The role conducts outreach and educates patients and community members about affordable insurance options and the Marketplace. The Navigator maintains expertise in program eligibility, enrollment, and specifications; assists with applications and eligibility questions; and helps resolve documentation and enrollment issues. The position also collaborates with Case Management, supports enrollment tracking and financial reporting, and serves as a resource for registration and clinical support teams. Work locations are subject to change.

Requirements

Exchange Enrollment Facilitator Certificate, or completion of the training within 30 days.
Strong attention to detail.
Efficient time management.
Excellent analytical and problem-solving skills.
Proficiency in Microsoft Office, especially Excel.
Complete all related training and certifications.

Nice To Haves

Three or more years of healthcare insurance enrollment experience (preferred).

Responsibilities

Conduct outreach activities and educate health center patients and community residents about affordable insurance options and the Marketplace.
Maintain expertise in eligibility, enrollment, and program specifications, and conduct public education activities to raise awareness about the Marketplace.
Assist individuals with enrollment applications and understanding eligibility for individual plans.
Stay current with regulatory guidelines and insurance plan eligibility, authorization, and system requirements.
Resolve outstanding issues, including documentation needed to maintain eligibility and enrollment issues with health insurance companies, and help individuals enroll.
Collaborate with the Case Management team to create patient-centered communication that improves performance and reimbursement and streamlines processes.
Attend community outreach events, health fairs, and informational forums as required by the organization.
Assist in tracking enrollment metrics and patient payments.
Monitor and efficiently reconcile electronic work queues.
Provide support and assistance with financial reports, projects, and audits as required.
Act as a resource and point person for registration and clinical support teams.
Perform other duties as assigned.