Community Health Eligibility Navigator

Compass Health, Inc.; Hillsboro (MO); On-site; USD 24,000 - 34,000; Full time

Job summary

Compass Health, Inc. in Hillsboro, MO is seeking an Eligibility Specialist to help individuals access healthcare coverage.

The role supports MO HealthNet, CHIP and other public options, delivering education at centers and in the community to empower enrollment and ongoing coverage. You’ll work in a rural-centered program, engaging with diverse audiences, maintaining eligibility, processing documents, and meeting productivity targets while ensuring quality service and compliance with licensure

Qualifications

• High School/GED required.
• Bachelor’s degree preferred.
• Missouri Insurance Navigator licensure within 6 months of hire.
• Federal Counselor or Federal Navigator licensure within 6 months of hire.

Responsibilities

• Monitor uninsured health center patients annually to ensure they are screened for eligibility.
• Educate health center staff about insurance options so they can assist in educating their patients.
• Assist patients with enrollment in MO HealthNet, CHIP and other public health insurance options.
• Assist patients with appeals and hearings related to MO HealthNet, CHIP and other public health insurance options coverage issues.
• Support patients in submitting requested documents for case processing.
• Educate patients on utilization of their health insurance coverage, including how to maintain coverage and coordinate care.
• Assist with submitting address updates.
• Complete all required trainings, participate in all meetings assigned, and complete all required reporting.
• Assist with Annual Renewal forms.
• Support patients in removing incarceration lock-ins, Child Support Sanctions, and third-party payers from Medicaid coverage.
• Meet productivity expectations related to application numbers, paperwork error rates and answering shared phone queue calls.
• Enter work into shared database timely as well as enter Medicaid screenings into EHRs.
• Support all departments within the organization with insurance eligibility and assist in confirming active patient coverage.

Skills

Public speaking

Rapport building

Compassionate approach

Organized

Independent work

Curiosity for program updates

Education

High School/GED

Bachelor’s degree

Tools

EHRs

Job description

Compass Health, Inc. in Hillsboro, MO is seeking an Eligibility Specialist to help individuals access healthcare coverage.

The role supports MO HealthNet, CHIP and other public options, delivering education at centers and in the community to empower enrollment and ongoing coverage. You’ll work in a rural-centered program, engaging with diverse audiences, maintaining eligibility, processing documents, and meeting productivity targets while ensuring quality service and compliance with licensure