Patient Navigator

Porch Light Health•Denver, CO

1d•Hybrid

About The Position

The Patient Navigator serves as a dedicated member of the Porch Light Health care team, helping patients overcome barriers that may interfere with their ability to access, engage in, and remain connected to treatment. Acting as a trusted guide and advocate, the Patient Navigator assists patients in navigating insurance coverage, financial assistance programs, transportation resources, community services, and other social determinants of health that impact recovery and overall well-being. This role works closely with providers, Patient Care Coordinators, the Call Center, Revenue Cycle, and community partners to proactively identify and resolve challenges before they disrupt treatment. While not providing clinical services, counseling, case management, or social work services, the Patient Navigator plays a critical role in supporting patient engagement, retention, and successful treatment outcomes.

Requirements

Proficiency in insurance eligibility verification, 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.

Nice To Haves

Associate’s degree in Human Services, Healthcare Administration, Social Work, Psychology, Public Health, or a related field.
Equivalent combination 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.

Responsibilities

Assist patients with Medicaid enrollment, renewal, and eligibility maintenance.
Conduct proactive outreach to patients approaching Medicaid renewal deadlines.
Educate patients regarding Medicaid requirements, workforce exemptions, reporting obligations, and other program requirements.
Assist patients in navigating Medicare, Marketplace (ACA), and other available insurance options.
Coordinate with Revenue Cycle and eligibility teams to address coverage concerns before treatment is interrupted.
Help patients understand insurance benefits as they relate to Porch Light Health services.
Educate patients regarding self-pay options, payment plans, scholarship programs, hardship assistance, and other financial resources.
Assist patients with completion of financial assistance applications and required documentation.
Work collaboratively with internal teams to identify solutions that support continued treatment engagement.
Assess transportation barriers that may impact appointment attendance.
Connect patients with Medicaid transportation benefits, Uber Health resources, and other transportation programs.
Coordinate transportation support when appropriate to reduce missed appointments and treatment interruptions.
Conduct outreach to patients who have missed appointments, disengaged from care, or are at risk of treatment interruption.
Identify and address non-clinical barriers affecting treatment adherence.
Partner with providers, PCCs, and operational teams to support patient re-engagement efforts.
Assist patients in resolving administrative, financial, or logistical challenges that may prevent them from remaining in care.
Connect patients with community resources related to food insecurity, housing instability, employment assistance, utility assistance, legal aid, and other social needs.
Assist patients with applications and enrollment processes for programs such as SNAP and other public assistance programs.
Maintain current knowledge of community resources available within assigned markets.
Build and maintain relationships with community organizations and resource providers.
Assist patients in accessing primary care, specialty care, behavioral health services, and other healthcare resources as appropriate.
Support patients in understanding and navigating healthcare systems and referral processes.
Help patients access telehealth services and address technology-related barriers to care.
Document patient interactions and interventions in accordance with company policies and procedures.
Track outcomes related to patient assistance activities, including benefit enrollments, transportation interventions, resource referrals, and patient re-engagement efforts.
Participate in reporting and quality improvement initiatives focused on access, retention, and patient success.