Health Insurance Navigator

Join a team dedicated to removing barriers to care. As a Health Insurance Navigator, you will support patients in understanding their insurance options and assist with enrollment in programs that ensure access to essential healthcare services. This role combines compassionate patient interaction with technical expertise, requiring a detail-oriented professional who can navigate complex eligibility requirements while delivering a positive and supportive experience for every patient.

DUTIES AND RESPONSIBILITIES:

• Performs interactive interviews to elicit eligibility information, obtain and/or verify financial, employment, tax and personal demographic information and determine eligibility for healthcare assistance programs and services
• Assist patients to accurately complete application(s) and successfully enroll/re-enroll into government sponsored health insurance programs
• Prepares reports and statistical data, maintains and updates patient files as needed 
• Assist patients in understanding the ACA/Medicaid program and its benefits.
• Verify patient eligibility and ensure all required information is accurately collected and submitted.
•  Provide ongoing support and follow-up with patients to ensure successful enrollment.
•  Maintain accurate and organized records of patient interactions and enrollment status.
• Collaborate with other team members to ensure a seamless enrollment process.
• Stay informed about changes and updates to the ACA, Medicaid, etc programs
• Document the patient category of approval in the EMR and provide patient with eligibility information.

QUALIFICATIONS:

Education:  

• High school diploma or equivalent;
• Associate’s or bachelor’s degree in social work, healthcare, or a related field is a preferred

Experience: 

• 1 -3 years of experience with insurance verification or billing strongly desired
• 1-3 years of experience in program development or other related field 
• Previous experience in healthcare or social services setting is a plus
• Strong interpersonal and communication skills.
• Excellent organizational skills and attention to detail.