Healthcare Navigator

Saintjameshealth; Newark (NJ); On-site; USD 50,000 - 75,000; Full time

Benefits offered by this job

403B

Health insurance

Dental

Vision

Paid time off

Sick Time

Job summary

A healthcare organization in Newark, NJ, is seeking a Healthcare Navigator to assist patients with Medicaid, CHIP, and Federal Marketplace enrollment. The ideal candidate will have a minimum of 3 years of experience in healthcare insurance enrollment, strong analytical skills, and proficiency in Microsoft Office, particularly Excel. This full-time position offers benefits including health, dental, and vision insurance, along with paid time off and a 403B plan, with responsibilities that include community outreach and educational initiatives.

Qualifications

• Must hold an Exchange Enrollment Facilitator Certificate or complete training within 30 days.
• 3+ years of experience in Healthcare Insurance Enrollment preferred.
• Proficient in Microsoft Office, especially Excel.

Responsibilities

• Assist with Medicaid, CHIP, and Federal Marketplace enrollment.
• Provide education on affordable insurance options.
• Resolve enrollment issues with health insurance companies.
• Collaborate with Case Management for patient-centered communication.
• Track enrollment metrics and assist with financial reports.

Skills

Attention to detail

Time management

Analytical skills

Problem-solving skills

Proficient in Microsoft Excel

Education

Exchange Enrollment Facilitator Certificate

3+ years of Healthcare Insurance Enrollment experience

Tools

Microsoft Office

Job description

Position Summary

The Healthcare Navigator is responsible for providing eligibility and enrollment assistance for the Medicaid, CHIP, and Federal Marketplace health insurance programs to patients of the health center and community residents.

Essential Duties and Responsibilities

• The Health Insurance Navigator will conduct outreach activities and provide education to existing health center patients and non-health center patients about affordable insurance options and Marketplace.
• Maintains expertise in eligibility, enrollment, and program specifications and conducts public education activities to raise awareness about the Marketplace.
• Assists individuals with enrollment applications and understanding of eligibility for individual plans.
• Stays abreast of regulatory guidelines and insurance plan eligibility, authorization, and system requirements.
• Resolves any remaining issues such as needing providing documentation to maintain eligibility or any enrollment issues with health insurance companies and helps them enroll.
• Collaborates with the Case Management team to create patient‑centered communication to improve performance, reimbursement and streamline processes.
• Attends community outreach events, health fairs, and informational forums as required by the organization.
• Assists in tracking enrollment metrics and patient payments.
• Monitors and efficiently reconciles electronic work queues.
• Provides support and assistance with financial reports, projects and audits as required.
• Acts as a resource/point person for the registration and clinical support teams.
• Performs all duties as assigned.

Qualifications

• Required: Exchange Enrollment Facilitator Certificate or complete training within 30 days.
• 3+ years of Healthcare Insurance Enrollment experience preferred.
• Strong attention to detail.
• Efficient with time management.
• Excellent analytical and problem‑solving skills.
• Proficient Microsoft Office skills, especially with Excel.
• Complete all related training and certifications.

Benefits

• 403B
• Health insurance
• Dental
• Vision
• Paid time off
• Sick Time

Schedule

• Full-Time (5 days)
• Work locations are subject to change.