Financial Navigator

NeighborHealth Center, Inc.; Raleigh, Northern (NC, KY); Hybrid; USD 36,000 - 52,000; Full time

Job summary

NeighborHealth Center, Inc. in Raleigh, NC is seeking a Financial Navigator to help uninsured and underinsured patients access affordable care.

You will manage Sliding Fee Discount Program applications and renewals while screening patients for Medicaid, Marketplace, Medicare, or other coverage options. The Navigator provides education, support, referrals, and follow-up with accurate documentation in the EHR.

Qualifications

• Bilingual Spanish required and preferred for patient outreach and documentation.
• Proficiency with Windows, Outlook, Word and Excel for daily tasks.
• Ability to communicate clearly and succinctly with patients and colleagues.
• Flexibility to adapt to changing priorities and workflow.
• Strong organizational, problem-solving and critical thinking skills.
• Ability to maintain patient confidentiality in all interactions.
• Team-based approach to coordinating care and support services.
• Commitment to inclusive and equitable relationships with peers and community members.
• Ability to advocate for individuals from diverse backgrounds.

Responsibilities

• Screen uninsured patients for potential Medicaid, Marketplace, Medicare, or other options.
• Explain Sliding Fee Discount Program, eligibility, discounts, and responsibilities.
• Assist patients with sliding fee applications and annual renewals.
• Review income and household documents, determine eligibility, and document approvals.
• Follow up on incomplete applications and upcoming renewals.
• Track application volume, renewals, and outcomes in the system.
• Connect patients with enrollment partners when appropriate.
• Assist with UNCFA and Presumptive Medicaid applications.
• Conduct outreach by phone, text, portal, mail, or in person.
• Document applications, outreach, referrals, and outcomes in the EHR.
• Maintain HIPAA and organizational confidentiality and compliance.
• Collaborate with registration, scheduling, billing, outreach and partners to reduce barriers to care.

Skills

Bilingual

Computer literacy

Communication

Adaptability

Organizational skills

Confidentiality

Team player

Inclusion

Advocacy

Education

High school diploma

Job description

Position Summary

The Financial Navigator helps uninsured and underinsured patients access affordable care. The position primarily manages Sliding Fee Discount Program applications and renewals while screening patients for possible Medicaid, Marketplace, Medicare, or other coverage options. The Financial Navigator provides patient education, application support, referrals, and follow-up while ensuring accurate documentation and compliance with organizational requirements.

Principal Duties and Responsibilities

• Screen uninsured patients for potential Medicaid, Marketplace, Medicare, or other coverage options.
• Explain the Sliding Fee Discount Program, eligibility requirements, available discounts, and patient responsibilities.
• Help patients complete sliding fee applications and annual renewals.
• Review income and household documentation, determine eligibility, and document approvals and expiration dates.
• Follow up with patients regarding incomplete applications or upcoming renewals.
• Track application volume, completion, renewals, and coverage-navigation outcomes.
• Assist patients with gathering required information and connect them with qualified enrollment partners when appropriate.
• Assist patients with completion of UNCFA and Presumptive Medicaid application
• Conduct outreach by phone, text, patient portal, mail, or in person.
• Accurately document applications, outreach, referrals, and outcomes in the electronic health record.
• Maintain patient confidentiality and follow HIPAA, HRSA, and organizational requirements.
• Work with registration, scheduling, billing, outreach, and community partners to address financial barriers to care.

This description covers the primary responsibilities of the role, but it isn't meant to capture everything. Duties may change over time to meet the needs of the team and the patients we serve.

Requirements

Required Skills or Abilities

1. Bilingual (Spanish) requirement
2. Computer literacy in internet use and Windows environment, including Outlook, Word, and Excel.
3. Ability to communicate clearly and succinctly.
4. Must be able to work with changing priorities.
5. Requires excellent organizational, problem solving and critical thinking skills.
6. Requires the ability to maintain confidentiality.
7. Must be able to function as part of a team.
8. Ability to cultivate and develop inclusive and equitable working relationships with co-workers and community members.
9. Ability to serve as an advocate for individuals of all ethnicities, genders, ages, and backgrounds.

Required Knowledge, Experience, or Licensure/Registration

1. High School education or equivalent
2. Ability to work onsite Mondays through Fridays during the hours of 7:45 am and 5 pm.
3. Ability to read, write, speak, and comprehend English fluently as needed to perform essential job functions, including patient communication, documentation, and safety-related instructions.

Physical requirements of the Job

With or without reasonable accommodation, this position requires the ability to:

1. Sit or stand, often for prolonged periods
2. Carry or lift objects up to 20 pounds

Health and Safety Requirements

Up-to-date immunizations as required for the role, subject to medical or religious exemption requests in accordance with applicable law and NHC policy.

This is a full-time, non-exempt position.

*NeighborHealth Center is an Equal Opportunity Employer, dedicated to serving a diverse patient population and building a staff reflective of the communities we serve. We encourage applications from women, minority groups, veterans, and people with disabilities.