Patient Advocate & Benefits Eligibility Specialist

Tohono O'odham Nation; Sells (AZ); On-site; USD 55,000 - 70,000; Full time

Job summary

Tohono O’odham Nation Health Care seeks a Benefits Navigator to assist families in applying for alternate resources and to explain Medicare, Medicaid, and other programs. You will identify eligibility, advocate for patients, and coordinate with SSA, county, and tribal agencies to secure benefits.

Responsibilities include interviewing patients, guiding applications, and ensuring accurate reporting of eligibility. Strong communication and independent work with strict timelines are essential.

Qualifications

• Bachelor's Degree in Public/Business Administration or closely related field and three years' work experience administering benefit plans or equivalent training/education.
• Experience coordinating with multiple agencies (Medicare/Medicaid/SSA/etc.) and knowledge of related programs.
• Ability to interview, screen, and determine eligibility for alternate resources and assist with applications.

Responsibilities

• Provides leadership and acts as an advocate for patients in the effective utilization of alternate resources.
• Identifies eligible persons for alternate resources and assists with applications.
• Works with SSA, county and tribal agencies to establish eligibility for Medicare, AFDC, SSI, and related programs.
• Explains benefits options, qualifying conditions, and reporting requirements to patients and families.
• Follows up on pending eligibility claims and coordinates with agencies to prevent discrimination.

Skills

Patient advocacy

Interview patients

Policy understanding

Communication

Data analysis

Education

Bachelor's Degree in Public/Business Administration

Job description

Tohono O’odham Nation Health Care seeks a Benefits Navigator to assist families in applying for alternate resources and to explain Medicare, Medicaid, and other programs. You will identify eligibility, advocate for patients, and coordinate with SSA, county, and tribal agencies to secure benefits.

Responsibilities include interviewing patients, guiding applications, and ensuring accurate reporting of eligibility. Strong communication and independent work with strict timelines are essential.