Eligibility and Navigator Specialist

Paycom - ATS; Colorado Springs (CO); On-site; USD 38,000 - 48,000; Full time

Benefits offered by this job

Health insurance

401(k) with matching

Paid vacation & sick leave

Long-term disability

Paid holidays

Employee Assistance Program (EAP) with

Professional development funds

Robust training program

Second language monthly bonus

Job summary

Diversus Health is seeking an Eligibility and Navigator Specialist to support Health First Colorado eligibility and Same Day Access services. This in-person, full-time role emphasizes accurate documentation, scheduling, and client advocacy across SDA sites.

The candidate should have strong customer service experience, excellent data entry and Microsoft Office skills, and the ability to multitask in a fast-paced healthcare setting. Spanish bilingual skills are preferred.

Qualifications

• Minimum high school diploma or equivalent.
• 2+ years of customer service experience preferred.
• Excellent data entry skills (25+ wpm).
• Strong computer skills with Microsoft Office (Word, Outlook, Excel).
• Experience with electronic health records a plus.
• Excellent verbal and written communication.
• Strong organizational and multitasking abilities.
• Knowledge of Release of Information process preferred.
• Proven ability to work in a fast-paced environment with competing priorities.

Responsibilities

• Assist Diversus Health clients with SDA access and scheduling.
• Coordinate with SDA staff to route clients to appropriate staff.
• Troubleshoot telehealth connectivity and meeting links.
• Maintain data and generate reports for leadership.
• Attend regular meetings and train new team members.

Skills

Customer service

Data entry

MS Office

Verbal communication

Written communication

Organizational skills

Multi-tasking

Release of Information knowledge

Education

High school diploma or equivalent

Tools

Microsoft Word

Microsoft Outlook

Microsoft Excel

Electronic Health Records

Job description

Position: Eligibility & Navigator SpecialistFULL TIME/ IN-PERSONMonday - Friday 8:30 AM - 5:30 PMJoin the Diversus Health Team: Where Your Career Meets Purpose and Well-being!At Diversus Health, we’re dedicated to transforming mental and behavioral healthcare to improve lives. Our mission is to provide trusted, affordable, and personalized care that empowers individuals to lead healthier, more fulfilling lives. And we’re doing it with a team of passionate professionals who believe in the power of making a difference every day.When you join our team, you’re not just another employee- you’re part of a community that values your growth, well-being, and success. Here’s why you should apply:Our Rich Benefits Package Includes:Exceptional Health Benefits (medical, dental, vision)- comprehensive coverage for you and your family’s health needs.401(k) Company Match with 4% fully vested- planning for your future made easier.Generous Vacation & Sick Time- because we know work-life balance is essential for your well-being.Paid Long-Term Disability Coverage- peace of mind for those unexpected times when you need it.Paid Holidays including 3 Floating Holidays- take the time you need to recharge on your terms.Employee Assistance Program- including free therapy access to support your mental health.Professional Development Funds- we invest in your growth through courses, conferences, and certifications.Robust Training Program- get the skills and knowledge you need to excel in your career.Second Language Monthly Bonus (subject to assessment)- for those with bilingual skills, earn extra for your ability to connect with more individuals.At Diversus Health, we believe in creating a truly healthy society, where mental and behavioral healthcare work together to improve lives. Join our team and help us make this lofty goal a reality. Together, we can build a better tomorrow. Ready to make an impact? Apply today!DIVERSUS HEALTHJob Title: Eligibility and Navigator SpecialistFLSA Status: Non-ExemptSupports client with Health First Colorado Application eligibility (Colorado’s Medicaid Program). Be familiar with documentation that is needed to apply for benefits. These include Social Security numbers for applicants who have them. Immigration document numbers for non-citizens, name, address, contact info, and birth date for applicants. Employer and income information for everyone in your household. Examples include pay stubs or W2 forms. Other income information including Social Security Administration (SSA) or Supplemental security income (SSI) payments and mentions. Information and policy numbers for health insurance plans covering members of your household, including Medicare. Be familiar with Health First Colorado income guidelines.Provides a variety of support services in connection to the day-to-day operations in a health care environment servicing Same Day Access (SDA) clients at all SDA sites. Duties include monitoring of SDA access clients at all sites for timeliness, coordinating with staff in SDA to get clients to appropriate staff member, troubleshoot technology issues (telehealth connectivity, meeting links, etc.), utilization of Fast Pass for appropriate clients, and identify areas for improvement within SDA. Reports pertinent information and recommendations to leadership in accordance with the center/program goals and objectives. Must be able to consistently stay calm while interacting with customers telephonically or in person. Must be able to adapt to a consistently changing fast paced environment that requires excellent multi-tasking skills. Must be flexible with the business needs and report daily with a “can do” approach. Assists with training new team members and ensure staff is updated on new processes, procedures and assigned task. Bilingual/Spanish is preferred. Performs all other duties as assigned.Essential Functions:Supports client with applying for assistance for Health First Colorado Colorado’s Medicaid Program.Will be familiar and knowledgeable with the income guidelinesBe sure familiar with the documents and verification needed to applyPull and returning calls (SDA)Maintain training for front desk coverage (Documentation needed and all other eligibility requirements to include scheduling.)Work emails and any other correspondence submitted for client to include sending documents other departments as required.Is responsible for navigating the Same Day Access service needs of the clinician and clients and assists with setting appointments, rescheduling and or referring them to internal or external resources and professionals; completing enrollment as needed for clients to receive services.Actively stays informed on process changes and collaborates with Same Day Access Team.Maintains knowledge of services offered within Diversus Health and the processes to provide those services.Consistently maintains prompt attendance to provide excellent customer service.Works collaboratively with multiple departments to provide support with SDA needs.Participates in the monitoring, collection, and reporting of data.Attends regular meetings with SDA and other teams.Closes SDA programs once client has been assigned for ongoing treatment.Seeks and maintains efficiencies for Diversus Health patients access processes.Develops and maintains strong internal/ external working relationships and communications.Attends and completes all required job-specific trainings and meetings as designated.Promotes and maintains a positive work environment and encourages resiliency.Willingly performs other duties as assigned or requiredRepresents Diversus Health as a professional, ethical, and positive steward of the mission of the organization during community events and meetings.The environment at Diversus Health is fluid and roles and responsibilities may be altered to accommodate changing business conditions and objectives. Employees may be asked to perform duties that are outside specific work that is listed within their job descriptions. This position may require you to work standard hours, as well as flexible hours both before and after standard hours necessary to positions needs.Mobility clause: Based on business need, this position may be needed to work and/or travel on a temporary basis at any premises which the agency currently has or may subsequently acquire or at any premise at which it may from time to time provide services. This position may require that the employee travel with or without notice as needed within the scope of the position responsibility.Knowledge/Skills/Abilities:Minimum high school diploma or equivalent experience.Strong work experience in customer service industry, preferably 2+ years.Excellent data entry skills; Type 25+ w.p.m.Excellent computer skills, with extensive experience using program within Microsoft Office, to include Word, Outlook and Excel preferred.Electronic Health Records experience a plus.Excellent verbal and written communication skills.Excellent organizational skills.Ability to maintain sensitive and confidential information.Strong ability to interact successfully with a variety of individuals.Strong knowledge of “Release of Information “process, preferred.Proven work history in a fast-paced environment with competing priorities and the expectation to multi-task.