Patient Navigator

Porch Light Health•Durango, CO

21d•$20 - $35•Hybrid

About The Position

The Patient Navigator is a dedicated member of the Porch Light Health care team who helps patients overcome barriers to accessing, engaging in, and remaining connected to treatment. The role supports patients with insurance coverage, financial assistance, transportation, community services, and other social determinants of health that affect recovery and well-being. The Patient Navigator works with providers, Patient Care Coordinators, the Call Center, Revenue Cycle, and community partners to identify and address challenges before they disrupt treatment. This is a non-clinical role and does not provide counseling, case management, or social work services. The position combines remote work, regional travel, and clinic work: 50% remote, 25% travel to a designated region, and 25% in clinic. The standard schedule is 40 hours per week, 8:00 a.m. to 4:30 p.m., Monday through Friday. The position is non-exempt and hourly, and requires travel of up to 25% of the time.

Requirements

Proficiency in insurance eligibility verification, explanation of benefits (EOB) interpretation, and benefit navigation, including deductibles, copays, coinsurance, and out-of-pocket maximums.
Ability to accurately determine and communicate patient financial responsibility for services.
Experience with Medicaid, Medicare, ACA Marketplace, commercial insurance, and financial assistance programs.
Ability to build trust and rapport with patients.
Strong problem-solving and resource navigation skills.
Ability to manage multiple patient needs simultaneously.
Strong organizational and follow-up skills.
Ability to work collaboratively across departments and with community partners.
Commitment to patient-centered care and recovery support.
Ability to travel up to 25% of the time and travel to regional locations as needed.
Standard schedule is 40 hours per week, 8:00 a.m. to 4:30 p.m., Monday through Friday.

Nice To Haves

Associate’s degree in Human Services, Healthcare Administration, Social Work, Psychology, Public Health, or a related field; equivalent combinations of education, experience, and demonstrated success working with patients will be considered.
Experience in healthcare, patient services, customer service, care coordination, patient advocacy, community resources, insurance navigation, or social services.
Experience supporting underserved, vulnerable, or behavioral health populations.
Experience working with rural and remote populations, specifically navigating medical, behavioral health, and community services in resource-limited communities.

Responsibilities

Assist patients with Medicaid enrollment, renewal, and eligibility maintenance, including proactive outreach before renewal deadlines.
Educate patients about Medicaid requirements, workforce exemptions, reporting obligations, and other program requirements.
Help patients navigate Medicare, ACA Marketplace, and other insurance options; coordinate with Revenue Cycle and eligibility teams to resolve coverage concerns; and explain how insurance benefits apply to Porch Light Health services.
Educate patients about self-pay options, payment plans, scholarships, hardship assistance, and other financial resources; help complete assistance applications and documentation; and work with internal teams on solutions that support continued treatment.
Assess transportation barriers and connect or coordinate patients with Medicaid transportation benefits, Uber Health, and other transportation programs.
Reach out to patients who have missed appointments, disengaged from care, or are at risk of treatment interruption; identify non-clinical barriers and partner with providers, Patient Care Coordinators, and operational teams to support re-engagement.
Help patients resolve administrative, financial, and logistical challenges that could prevent them from remaining in care.
Document and engage with community organizations to raise awareness of service delivery and build a network of resources for patient needs.
Connect patients with community resources for food insecurity, housing instability, employment assistance, utility assistance, legal aid, and other social needs.
Assist patients with applications and enrollment for SNAP and other public assistance programs; maintain knowledge of resources in assigned markets and relationships with community organizations and providers.
Help patients access primary care, specialty care, behavioral health services, and other healthcare resources; support navigation of healthcare systems and referrals; and help patients access telehealth and address related technology barriers.
Document patient interactions and interventions in accordance with company policies and procedures.
Track outcomes of patient assistance activities, including benefit enrollments, transportation interventions, resource referrals, and re-engagement efforts.
Participate in reporting and quality improvement initiatives focused on access, retention, and patient success.