Health Center Navigator
: Job Details :

POSITION SUMMARY Family Health Center (FHC) is not just a place to work, it is a promise of a living, dynamic environment where people collaborate, innovate, build enduring relationships, excel, and grow professionally in a strong culture of ownership. FHC's mission is to promote a healthy community by providing accessible, respectful, and collaborative primary and behavioral healthcare to all. We focus on building relationships and collaborations with community partners to deliver primary healthcare and improve the overall personal health and well-being for all residents of Knox and surrounding counties. The Health Insurance Navigator will become a certified Insurance Navigator through the state of Indiana. They will work with all self-pay patients to obtain Medicaid, commercial health insurance coverage via Marketplace, or a sliding fee scale discount based on the federal poverty guidelines. The Health Insurance Navigator will coordinate with other community agencies to help a patient with any type of socioeconomical deficiencies. They will continue to work with the patient as long as the patient needs any type of assistance.This position will work from the Daviess County Family Health Center and will travel as needed to the Martin County Family Health Center.ESSENTIAL DUTIES AND RESPONSIBILITIESThe essential functions include, but are not limited to the following:1. Successfully complete online Navigator Training and Certification during the initial training period and maintain annually thereafter2. Continuously comply with all required Navigator duties as outlined by CMS3. Protect personally identifiable information (PII) to ensure that confidentiality is maintained in accordance with HIPAA regulations4. Assist patients with gaining a sliding fee scale discount by obtaining all required documentation to support the Federal Poverty Level guidelines for a household income5. Assist patients with Medicaid applications to enroll as presumptive coverage or full Medicaid as well as look at options for Marketplace coverage6. Work with FHC billing department and central registration when insurance has been obtained as presumptive, full Medicaid, or a Marketplace coverage for entry into the patient's registration in EPIC7. Monitor monthly all self-pay patients to see if Medicaid was obtained via a different source, so the patient's insurance can be billed8. Help schedule all patient's appointments, new and/or follow-up, with the appropriate provider based on the type of service and insurance9. Screen all behavioral health patient calls for suicidal symptoms prior to scheduling their appointment 10. Identify and establish collaboration with community-based organizations and community sites for enrollment assistance, outreach and education events11. Provide wrap around services when patients need assistance linking to other community agencies12. Monitor and follow-up with all after-hours voice messages from patients13. The above duties and responsibilities are not an exhaustive list of required responsibilities, duties, and skills. Other duties may be added, and this job description can be amended at any time.MINIMUM QUALIFICATIONS (KNOWLEDGE, SKILLS, AND ABILITIES)a. Education: High School Diploma or GEDb. Ability to work well with all types of patients and staff, strong verbal, and written skills as well as motivational skillsc. Ability to work independently and in a team environment and ability to multi-task.PHYSICAL DEMANDS AND WORK ENVIRONMENT The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodation may be made to enable individuals with disabilities to perform the functions.a. Mental: Attention to detail, possess critical thinking skills and ability to prioritize and manage multiple projects.b. Physical: Manual dexterity, frequent prolonged sitting, and visual and hearing acuity.c. Skill: Computer, data analysis, communication with all levels of staff and patients, ability to understand government regulations due to health insurance enrollmentsd. Working Conditions: Clean, Well-lighted and Ventilated office environment.