Medicaid & ACA Coverage Navigator

Winnebago Comprehensive Healthcare System; Northern (KY); Hybrid; USD 42,000 - 64,000; Full time

Job summary

Winnebago Comprehensive Healthcare System is seeking a Patient Financial Counselor to assist uninsured and underinsured patients in identifying and securing health coverage, including Medicaid, ACA marketplace plans, and state programs. You will guide patients through applications, maintain confidential records, and advocate with insurers to resolve eligibility issues.

You will work in clinical and community settings, collaborating with partners to connect patients with resources and ensure

Qualifications

• High School Diploma or equivalent.
• ACA Navigator or Medicaid enrollment experience preferred.
• Experience with Medicaid enrollment processes and ACA enrollment.
• Familiarity with insurance policies, billing, and reimbursement systems.

Responsibilities

• Meet with uninsured patients to assess financial and insurance status.
• Counsel patients on Medicaid, ACA marketplace plans, and subsidies.
• Assist with completing and submitting applications for coverage.
• Maintain confidential records and follow up on application status.
• Advocate with insurers or government entities to resolve eligibility issues.
• Travel to clinics, community sites, and enrollment events as needed.

Skills

Policy interpretation

Communication

Documentation

Confidentiality

Teamwork

Independent work

Education

High School Diploma

Tools

EMR software

Microsoft Office

Enrollment portals

Job description

Winnebago Comprehensive Healthcare System is seeking a Patient Financial Counselor to assist uninsured and underinsured patients in identifying and securing health coverage, including Medicaid, ACA marketplace plans, and state programs. You will guide patients through applications, maintain confidential records, and advocate with insurers to resolve eligibility issues.

You will work in clinical and community settings, collaborating with partners to connect patients with resources and ensure