Medicaid Coverage & Enrollment Navigator

OHI - Ocean Health Initiatives, Inc.; Lakewood Township (NJ); Presencial; USD 42.000 - 54.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

401(k) Match

Paid Time Off

Paid Holidays

Employee Assistance Program

Employee Discounts

Employee Referral Program

Descripción de la vacante

Ocean Health Initiatives, Inc. seeks a Patient Coverage & Support Specialist to educate patients and assist with enrollment and renewal of healthcare coverage. The role involves proactive outreach, follow-up, and collaboration with health plans and internal teams to resolve coverage barriers.

The Specialist maintains registration support and participates in community education and enrollment events, ensuring coverage continuity while managing MCO reports and documenting outcomes.

Formación

• High school diploma or equivalent required.
• Excellent verbal and written communication; confidentiality.
• Microsoft Office 365 proficiency required.
• Ability to travel to OHI sites and community locations.
• Medicaid/insurance literacy; outreach and engagement; registration accuracy.

Responsabilidades

• Review renewal and redetermination worklists and contact patients.
• Explain Medicaid notices, renewal requirements, deadlines, eligibility processes to patients.
• Help patients complete Medicaid renewals, ACA marketplace applications, and required documents.
• Maintain audit-ready records of reports, contacts, and outcomes.
• Enter information in Athenahealth, payer portals and enrollment systems.

Conocimientos

Verbal communication

Written communication

Organization

Documentation

Follow-up

Confidentiality

Educación

High school diploma or equivalent

Herramientas

Athenahealth

Payer portals

Spreadsheets

Microsoft Office 365

Monday.com

Descripción del empleo

Ocean Health Initiatives, Inc. seeks a Patient Coverage & Support Specialist to educate patients and assist with enrollment and renewal of healthcare coverage. The role involves proactive outreach, follow-up, and collaboration with health plans and internal teams to resolve coverage barriers.

The Specialist maintains registration support and participates in community education and enrollment events, ensuring coverage continuity while managing MCO reports and documenting outcomes.