Insurance Eligibility & Enrollment Coordinator

Project Renewal•New York, NY

5d•Hybrid

About The Position

Project Renewal’s Healthcare Department is seeking a team-oriented, customer-focused, strong multi-tasker to support patient access to healthcare services through insurance verification, enrollment assistance, coverage navigation, and patient engagement. Reporting to the Assistant Administrator of Clinic Operations, the coordinator collaborates with clinic, mobile health, revenue cycle, and other interdisciplinary teams. The role provides patients with support for insurance eligibility, enrollment, renewals, coverage maintenance, and resolution of insurance-related barriers to care. The position follows a hybrid work schedule and requires the ability and willingness to travel to and provide onsite support at multiple program and clinic locations throughout New York City’s five boroughs, based on operational and patient care needs.

Requirements

High school diploma or GED; an associate’s degree is also listed in the qualifications.
At least one year of experience in a medical office, healthcare enrollment, patient access, insurance verification, or a related healthcare setting.
Experience working with insurance eligibility systems, payer portals, or patient registration processes.
Basic competency in Microsoft Office applications, including Word and Excel.
Strong verbal and written communication skills and professional telephone etiquette.
Strong organizational, time-management, and multitasking abilities.
Demonstrated customer service and relationship-management skills.
Ability to handle sensitive and confidential information with discretion.

Nice To Haves

Experience supporting Medicaid, Marketplace, or other health insurance enrollment programs.
Knowledge of healthcare registration, insurance verification, revenue cycle, and patient access processes.
Experience with eClinicalWorks (eCW) or other electronic health record systems.
Bilingual skills, particularly Spanish.
Knowledge of community-based healthcare and social service systems.

Responsibilities

Review, verify, and maintain accurate patient demographic, financial, PCP, and insurance information in the EHR, including eligibility verification through ePACES, Marketplace, Medicaid, payer-based systems, and related tools.
Scan, upload, and maintain eligibility reports, enrollment documentation, recertifications, applications, correspondence, and supporting documents in the EHR.
Partner with Revenue Cycle, Billing, and Clinic Operations staff to support data accuracy, timely claims submission and reimbursement, and resolution of insurance-related issues.
Help patients identify and resolve insurance-related barriers to care, including enrollment discrepancies, eligibility issues, PCP changes, coverage restrictions, and at-limit concerns, working with patients, health plans, managed care organizations, and payer representatives.
Support the completion of documentation needed to maintain, restore, or optimize insurance coverage and access to services; monitor and document resolution efforts and follow up until issues are addressed whenever possible.
Promote awareness of insurance, financial assistance, and healthcare access resources available to patients.
Collaborate with Enrollment Specialists, care managers, social service providers, shelter-based staff, and external partners to support enrollment, renewal, and eligibility needs, including cross-coverage assistance with Medicaid, Marketplace, managed care, and other insurance activities as required.
Conduct patient outreach and follow-up by telephone, electronic communication, mail, and other approved methods to obtain required documentation and support enrollment and renewal activities.
Coordinate with healthcare providers, care managers, social service teams, community partners, and payer representatives to address barriers to healthcare access and connect patients with appropriate healthcare and community-based resources.
Use language access services and other engagement tools as needed.