JOB STATEMENT
The Navigator is responsible for assisting patients with the clinic registration process and the enrollment to different local, state, and federal health coverage programs.
JOB FUNCTIONS
- Assists individuals enrolling in clinic sliding fee, Medicaid, CHIP, Marketplace/ACA health plans, or other qualified programs.
- Provides patients with information about insurance affordability programs and coverage options.
- Educates patients about insurance including deductibles, co-insurance, and premiums.
- Interviews benefit recipients at specified intervals to certify their eligibility for continuing benefits.
- Interprets eligibility requirements, application details, and legal rights.
- Compiles records and evaluates personal and financial data.
- Troubleshoots and helps resolve customer complaints or concerns.
- Works with team members to identify system and workflow improvements to enhance efficiencies.
- Keeps records of assigned cases and prepares reports.
- Build and maintain strong relationships with community partners and represent the organization at community events.
- Performs other tasks as required by management.
JOB QUALIFICATIONS
- Education :
* High School Diploma or equivalent
* Some college coursework a plus
- Specialized Training/Certifications/Licenses :
* Certified Application Counselor (ACA) Certification
* Federally Facilitated Marketplace (FFM) Assister Training
* Community Partner Program (CPP) Training
- Experience :
* 2 yrs. Customer Service; or
* 1 yrs. LBU Concierge experience; or
* 0 yrs. Customer Service + Associate’s Degree
- Knowledge:
* None
- Skills :
* Basic Computer Literacy
* Basic Microsoft Office (Word, Excel)
* Customer Oriented
* Confidentiality
* Effective Communication
* Fluent in English, Spanish is a plus.
- Abilities :
* Must be able to speak, read, write, and comprehend the English language.
* Ability to sit for majority of the shift.
* Must be able to bend or stoop.
* Must be able to lift 20 lbs. unassisted.
* Must have good vision (e.g. near acuity and depth perception)
- Other :
* Must be able to periodically work on Saturdays.
* May require some local travel between different clinic locations.
* Must be able to maintain required immunizations as required by the organization.
* Must be able to obtain/maintain required certifications within 90 days of hire (training will be provided).
* Must be able to pass Texas Health Department background to assist with state program applications.