Insurance Navigator

Erie Family Health Center; Illinois; On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) with Erie matching

PTO and paid holidays

Job summary

Erie Family Health Centers in Illinois seeks an Insurance Navigator to join the Front-End Revenue Cycle Operations team. You will screen patients for Medicaid/Marketplace eligibility, assist enrollment, preservation of coverage, and communicate options to diverse patients.

The role supports patient education, outreach, and redeterminations, coordinating with EHR workflows. Bilingual English/Spanish is preferred; experience with ABE Get Covered Illinois is a plus.

Qualifications

• High school diploma or equivalent required.
• An associate degree or two years of college is a plus.
• One year of healthcare experience preferred.
• Experience with State insurance enrollment platforms (ABE, Get Covered Illinois) preferred.

Responsibilities

• Screen patients for eligibility and assist with enrollment, retention, and renewal of Medicaid and Marketplace.
• Educate patients on coverage options and assist with enrollment in programs such as sliding scale, IBCCP, Manage My Case, and Medicaid Managed Care.
• Conduct patient outreach to prepare, educate, and confirm appointments, and provide assistance with applications and redeterminations.
• Follow up on pending applications, requests for information, eligibility determinations, and notices to support timely processing.
• Provide patients with educational materials and resources regarding insurance coverage and benefits.
• Review and reconcile patient accounts in the EHR and handle inquiries.
• Travel to other Erie sites as needed and work flexible hours including evenings/weekends.

Skills

MS Office

Insurance terms

Bilingual English/Spanish

EHR system

Education

High school diploma or equivalent

Associate degree or college credits

Tools

EHR system

Job description

Join the Erie team! Motivated by the belief that healthcare is a human right, we provide high quality affordable care to support healthier people, families, and communities. Erie delivers holistic care to help every member of the family stay healthy and active from infancy through adulthood. Since 1957, we have provided high-quality care to diverse patients most in need, regardless of their insurance status, immigration status, or ability to pay.Erie Family Health Centers, a nationally recognized top workplace with 14 sites in Chicago and suburbs, is looking for a valuable addition to our Front-End Revenue Cycle Operations team! The Insurance Navigator will be part of a collaborative team that works to achieve high levels of patient insurance alignment and retention. Including but not limited to patient education, enrollment, alignment and retention into temporary and full Medicaid programs and Marketplace. The Insurance Navigator will assist current and interested patients with their insurance needs by ensuring efficient and friendly customer services to the clients of Erie Family Health Centers.At Erie, we are proud to provide competitive salaries, high-quality health care plans, generous time off benefits, retirement benefits, and more! Erie employees are eligible for Erie’s Full Benefits Package that includes Medical, Dental, Vision, Life and Disability Insurance and Flexible Spending (FSA) for Health Care or Childcare. Retirement Programs: 401(k) program with Erie matching $0.50 for every $1.00 up to the first 5% of the employee’s biweekly salary. Annual Paid Time Off: starting at 15 days of PTO, and 8 paid holidays. Competitive salary, annual merit increases, plus room for growth and career advancement.*Compensation is based on each candidate's experience, skills, and education within the range identified for the role. Candidates who meet the minimum requirements of the role will start at entry in the range. Any additional skills, experience, and education will be reflected in the compensation offered.Main Duties & Responsibilities· Screen patients for eligibility and assist with enrollment, retention, and renewal of Medicaid, Marketplace, and other eligible assistance programs, including MPE, FPPE, and full Medicaid.· Educate patients on available coverage options and assist with enrollment in programs such as the sliding scale program, IBCCP, Manage My Case, and Medicaid Managed Care plans.· Conduct patient outreach to prepare, educate, and confirm appointments, and provide individualized assistance with applications, redeterminations, and eligibility-related inquiries.· Follow up on pending applications, requests for additional information, eligibility determinations, and HFS notices to support timely processing and continuity of coverage.· Provide patients with educational materials and resources regarding insurance coverage, benefits, and available community programs.· Review and reconcile patient accounts for insurance assessment and manage patient and departmental inquiries through the electronic health record (EHR) system.· Ensure accurate and timely documentation, including scanning, faxing, printing, and processing of required forms and supporting documents.· Participate in benefit fairs, outreach activities, staff meetings, and required trainings.· Travel to other Erie sites as needed to provide coverage or attend training.· Work a flexible schedule that may include evenings and weekends.· Perform other related duties as assigned.Skills and Knowledge· Proficiency in Microsoft Office products required· Knowledge of insurance terminology, electronic medical records and clinical documentation preferred· Bilingual fluency (English/Spanish) preferredExperience· One year of experience in the healthcare field preferred· One year of experience in Medicaid Managed Care, strongly preferred· Previous experience with State insurance enrollment platforms (ABE and Get Covered Illinois) preferredEducation· High school diploma or equivalent required.· An associate degree or two (2) years of college is a plus.The Erie Advantage PledgeWORKING TOGETHER FOR WHAT MATTERS MOSTErie makes a pledge that all current and future employees can feel confident that:· Our mission, vision, and values unite us.· Our voices matter.· We do things well.· Our inclusive culture promotes balance and belonging.· We find our career sweet spot at Erie.