Bilingual Patient Navigator for Medicaid & ACA Coverage

Automatic Data Processing, Inc.; Kinston (NC); On-site; USD 22,000 - 26,000; Full time

Job summary

Kinston Health in Kinston, NC is seeking a Patient Navigator to help patients access and maintain health insurance coverage through Medicaid and ACA Marketplace programs. You will handle enrollment assistance, coverage verification, and follow-up while ensuring accurate documentation and HIPAA compliance.

The role requires a high school diploma or GED, marketplace training, and a Certified Application Counselor or equivalent designation.

Qualifications

• High school diploma or GED required.
• Complete Marketplace assister training and authorization before performing regulated activities.
• Certified Application Counselor or similar designation.
• 1–2 years of healthcare registration, patient access, Medicaid eligibility, insurance verification, or benefits assistance experience preferred.

Responsibilities

• Assist patients with Medicaid eligibility verification, applications, renewals, and supporting documentation.
• Help patients navigate ACA Marketplace enrollment, identify coverage options, and complete applications within training/certification requirements.
• Follow up on pending applications, unresolved coverage concerns, and potential gaps in insurance coverage.
• Provide backup lobby assistance by greeting patients and directing them to appropriate departments.
• Maintain accurate documentation of patient assistance, application status, and follow-up activities in approved systems.
• Coordinate with Registration and the Sliding Fee Discount Program to resolve coverage concerns and ensure follow-up.
• Conduct weekly audits of PSR encounters and Access/Registration applications for insurance accuracy and eligibility verification issues.
• Document audit findings and communicate discrepancies to leadership for corrective action.

Skills

Communication skills

Bilingual EN/ES

Customer service

EHR systems

Insurance verification

Education

High school diploma or GED

Job description

Kinston Health in Kinston, NC is seeking a Patient Navigator to help patients access and maintain health insurance coverage through Medicaid and ACA Marketplace programs. You will handle enrollment assistance, coverage verification, and follow-up while ensuring accurate documentation and HIPAA compliance.

The role requires a high school diploma or GED, marketplace training, and a Certified Application Counselor or equivalent designation.