Intake & Insurance Navigator

HOUSING WORKS INC; New York (NY); On-site; USD 26,000 - 28,000; Full time

Benefits offered by this job

Healthcare plans

PTO up to 30 days

Educational benefit

Job summary

Housing Works Inc. is seeking an Intake Specialist to screen patients, verify insurance eligibility, and manage new patient registrations.

You will ensure daily sliding fee scale applications for uninsured patients are completed and uploaded into the EMR, issue Good Faith Estimates, and support medical case management for Primary Care patients. The role requires familiarity with NYS Insurance enrollment, HIPAA regulations, and strong organizational skills; bilingual Spanish is preferred.

Qualifications

• Strong understanding of HIV/AIDS, case management, and insurance enrollment.
• Ability to identify medical emergencies and promptly alert medical personnel.
• Proficiency in Microsoft Office Suite.
• Knowledge of HIPAA regulations regarding medical document requests.
• Strong organizational and case management skills; Spanish preferred.
• Flexible hours including 9 AM-5 PM, 11 AM-7 PM, and weekend shifts as needed.
• Experience in community-based settings with LGBTQIA+ patients and homelessness, substance use, or mental health challenges preferred.

Responsibilities

• Complete NYS Assistor Training for Insurance Enrollment within the first 30 days.
• Assist uninsured patients with enrolling in insurance through the NYS Marketplace, including ADAP applications for Health Services clients, as well as PrEP, HIV, and Hep C Navigation Services.
• Issue Good Faith Estimates for clients who require them at least three days before their visit.
• Verify insurance eligibility for both scheduled and walk-in visits.
• Complete Sliding Fee Scale applications for uninsured/underinsured patients and upload them into the Electronic Medical Record (EMR).
• Enroll clients in Medicaid HMO and assist them with changing their insurance or Primary Care Provider (PCP).
• Participate in interdisciplinary meetings, morning huddles, and regular medical staff meetings, including Quality Improvement (QI) sessions.
• Support and actively participate in advocacy efforts to combat homelessness and AIDS.
• Provide excellent customer service, addressing concerns effectively and escalating issues to the Clinic Manager or Health Center Director as needed.
• Uphold Housing Works' core values: All-In, Stronger Together, High Performance, and Membership.
• Adapt to a fast-paced environment, assisting in other roles as needed based on priority demands.
• Perform additional duties as assigned by the Health Center Director or Clinic Operations Manager.
• Provide coverage as needed for Patient Service Representatives.
• Must be able to provide strengths-based, gender-affirming, trauma informed, low-threshold/ harm reduction-aligned healthcare to patients with diverse identities and lived experiences

Job description

Housing Works Inc. is seeking an Intake Specialist to screen patients, verify insurance eligibility, and manage new patient registrations.

You will ensure daily sliding fee scale applications for uninsured patients are completed and uploaded into the EMR, issue Good Faith Estimates, and support medical case management for Primary Care patients. The role requires familiarity with NYS Insurance enrollment, HIPAA regulations, and strong organizational skills; bilingual Spanish is preferred.