Healthcare Navigator
About The Position
The Healthcare Navigator is responsible for providing eligibility and enrollment assistance for the Medicaid, CHIP, and Federal Marketplace health insurance programs to patients of the health center and community residents. The Health Insurance Navigator will conduct outreach activities and will provide education to existing health center patients and non-health center patients about affordable insurance options and the Marketplace. Maintains expertise in eligibility, enrollment, and program specifications and conducts public education activities to raise awareness about the Marketplace. Assists individuals with enrollment applications and understanding of eligibility for individual plans. Stays abreast of regulatory guidelines and insurance plan eligibility, authorization, and system requirements. Resolves any remaining issues such as needing to provide documentation to maintain eligibility or any enrollment issues with the health insurance companies and helps them enroll. Collaborates with the Case Management team to create patient-centered communication to improve performance, reimbursement and streamline processes. Attends community outreach events, health fairs and informational forums as required by the organization. Assists in tracking enrollment metrics and patient payments. Monitors and efficiently reconciles electronic work queues. Provides support and assistance with financial reports, projects and audits as required. Acts as a resource/point person for the registration and clinical support teams. Performs all duties as assigned.
Requirements
- Exchange Enrollment Facilitator Certificate or complete training within 30 days
- Strong attention to detail
- Efficient with time management
- Excellent analytical and problem-solving skills
- Proficient Microsoft Office skills, especially with Excel
Nice To Haves
- 3+ years of Healthcare Insurance Enrollment experience preferred
Responsibilities
- Conduct outreach activities
- Provide education to existing health center patients and non-health center patients about affordable insurance options and the Marketplace
- Maintain expertise in eligibility, enrollment, and program specifications
- Conduct public education activities to raise awareness about the Marketplace
- Assist individuals with enrollment applications and understanding of eligibility for individual plans
- Stay abreast of regulatory guidelines and insurance plan eligibility, authorization, and system requirements
- Resolve issues such as providing documentation to maintain eligibility or enrollment issues with health insurance companies
- Collaborate with the Case Management team to create patient-centered communication
- Attend community outreach events, health fairs and informational forums
- Assist in tracking enrollment metrics and patient payments
- Monitor and reconcile electronic work queues
- Provide support and assistance with financial reports, projects and audits
- Act as a resource/point person for the registration and clinical support teams
- Perform all duties as assigned
Benefits
- 403B
- Health, Dental, Vision insurance
- Paid time off & Sick Time
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
