Patient Benefits Navigator
2 weeks ago
BCBS Medical PPO Plans| Ameritas Dental |Eye Med Vision| Tuition Reimbursement up to $5,000 per year|10 Paid Holidays and 16 Days of Paid Time Off
Compensation (Based on experience and qualifications): $19.00-$23.00
The Patient Benefits Navigator reports to the Lead Patient Benefits Navigator. Responsibilities include, but are not limited to, assisting patients with enrollment in Medicaid, Medicare, or Marketplace insurance coverage, facilitating patient empanelment, providing patient and staff education on healthcare benefits, and linking patients to medical home resources within Esperanza.
Primary Duties and Responsibilities:
- Provide enrollment assistance (including, but not limited to, completing applications, gathering required documentation, and following up with state and federal enrollment agencies) for uninsured and underinsured patients.
- Provide patient education on health coverage, assist in benefit navigation, and offer renewal/redetermination assistance for enrolled individuals.
- Assist in plan selection for HealthChoice Illinois (Medicaid) and Medicare Advantage beneficiaries.
- Review monthly payer redetermination reports and proactively perform outreach to facilitate redetermination and prevent loss of benefits.
- Assist pregnant patients with Medicaid Presumptive Eligibility (MPE) and Moms & Babies enrollment.
- Provide support to front-end staff on proper demographic, income information, and insurance capture.
- Cooperates with other personnel to achieve department objectives and maintains good employee relations.
- Other Duties as assigned.
- High School Diploma or equivalent, required.
- Bachelor's Degree or relevant experience, preferred.
- Previous knowledge of Medicare, Medicaid, and Marketplace benefit coverage.
- Excellent verbal and written communications skills.
- Bilingual English/Spanish, required.
Salary Description
$19.00-$23.00
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