Patient Navigator

Porch Light Health•Sterling, CO

19d•Hybrid

About The Position

The Patient Navigator is a member of the Porch Light Health care team who helps patients overcome barriers to accessing, engaging in, and remaining connected to treatment. The role acts as a trusted guide and advocate, helping patients navigate 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 role does not provide clinical services, counseling, case management, or social work services. The position supports patient engagement, retention, and treatment outcomes through insurance and benefits navigation; assistance with affordability and financial aid; transportation coordination; outreach to patients at risk of disengaging; connections to community and healthcare resources; and documentation and reporting of assistance activities. The role is based in a designated region, with time split between remote work, travel, and clinic work. The 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.

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%; transportation to and from regional locations is required as needed.

Nice To Haves

Associate’s degree in Human Services, Healthcare Administration, Social Work, Psychology, Public Health, or a related field; equivalent 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, particularly 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 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.
Explain self-pay options, payment plans, scholarship programs, hardship assistance, and other financial resources.
Help patients complete financial assistance applications and provide required documentation.
Work with internal teams to identify solutions that support continued treatment engagement.
Assess transportation barriers and connect patients with Medicaid transportation benefits, Uber Health, and other transportation programs.
Coordinate transportation support when appropriate to reduce missed appointments and treatment interruptions.
Reach out to patients who have missed appointments, disengaged from care, or are at risk of treatment interruption.
Identify non-clinical barriers affecting treatment adherence and partner with providers, Patient Care Coordinators, and operational teams on re-engagement efforts.
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.
Help patients with applications and enrollment processes for SNAP and other public assistance programs.
Maintain knowledge of community resources in assigned markets and build relationships with community organizations and resource providers.
Help patients access primary care, specialty care, behavioral health services, and other healthcare resources as appropriate.
Support patients in understanding healthcare systems and referral processes.
Help patients access telehealth and address technology-related barriers to care.
Document patient interactions and interventions according to company policies and procedures.
Track outcomes such as 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.
Travel to regional locations as needed; travel is required up to 25%.