Medicaid & Insurance Eligibility 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

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.