Patient Benefits Navigator

Northern Waters Casino Resort; Michigan; Hybrid; USD 25,000 - 32,000; Full time

Benefits offered by this job

Sign-on bonus

PTO upon hire

Dental

Vision

Health insurance

Employee meal discounts

Gas discount

Job summary

Lac Vieux Desert Health Center in Watersmeet, MI seeks a Patient Benefits Navigator to help patients obtain health insurance and government assistance. You will champion benefits coordination for our patient care team and support PRC eligibility and coverage continuity.

Responsibilities include handling referrals, claims, and documentation in EMR systems, with emphasis on Medicaid/Medicare and private insurance, while supporting Native communities and maintaining HIPAA compliance.

Qualifications

• Experience with PRC guidelines, insurance precertification, and third-party billing.
• Experience with Medicaid, Medicare, Social Security, and private insurance.
• Proficiency in EMR systems (eClinicalWorks, Open Dental) and office software.
• Excellent communication, organizational, and problem-solving skills.
• Ability to advocate for patients and navigate complex healthcare systems.
• Must have a High School Diploma or GED and pass a healthcare provider background check.
• Must have working knowledge of HIPAA law.

Responsibilities

• Manage patient demographics within multiple systems.
• Assist patients in obtaining and maintaining health insurance and government programs.
• Monitor PRC eligibility and ensure Medicare-Like Rates are applied when appropriate.
• Promote insurance enrollment and maintenance for all patients.
• Coordinate patient referrals, appointments and transportation.
• Process and track PRC and third-party claims from start to finish.

Skills

PRC guidelines

Medicaid/Medicare experience

EMR proficiency

HIPAA knowledge

Communication

Organizational skills

Problem solving

Grant administration

Education

High School Diploma or GED

Associate Degree and/ or 5+ years with Native Communities

Tools

eClinicalWorks

Open Dental

Excel

Word

PowerPoint

Job description

Patient Benefits Navigator

Watersmeet, Michigan

Health Clinic Hourly

Position Summary:

POSITION:

Patient Benefits Navigator

LOCATION:

LVD Health Center, Watersmeet, MI

SUPERVISION:

DataAnalyst

EMPLOYMENT:

FullTime – Non-Exempt

SALARY/PAYRATE:

$18.26 - $23.55 Per Hour

POSTINGEXPIRATION DATE: February 19th, 2026

*Eligible for a one-time$1500.00 Sign-on Bonus*

UPON HIRE:

• PTO UponHire
• Dental
• Vision
• HealthInsuranc e DESCRIPTION:

DESCRIPTION:

Position Summary:

The Patient Benefits Navigator primarily supports patients of the Lac Vieux Desert Health Center by assisting them in obtaining and maintaining health insurance and other eligible government assistance programs. This role serves as the benefits champion to our patient care team in identifying and addressing barriers to coverage and ensuring timely access to care and services. Additionally, this position will serve as a secondary contact for LVDHC PRC eligible patients and may from time to time assist in the patient services area.

Primary Responsibilities:

• Managing patient demographics within multiplesystems.
• Assist patients in obtaining and maintaininghealth insurance, working with Medicare, Medicaid, private insurers, and socialservice agencies.
• Monitor PRC eligibility, determine paymentsources, and ensure Medicare-Like Rates are applied as appropriate.
• Promoting insurance enrollment and maintenancefor all patients.
• Continually monitors systems data to ensurecontinuous coverage of insurance, both primary and secondary (when applicable).
• Assist in coordination of patient referrals,appointments, and transportation, ensuring compliance with PRC and ContractHealth guidelines.
• Assists in processing and tracking PRC andthird-party claims from initiation through payment; maintain complete andtimely documentation in EMR and other systems.
• Maintain detailed databases, voucher logs, andrecords of disbursements and patient communications.
• Communicate with outside providers, insurers,and agencies regarding claims and service coordination.
• Support Tribal Elders in securing andmaintaining appropriate coverage.
• Experience with Medicaid, Medicare, SocialSecurity, and private insurance.
• Advocates effectively for patients and navigatescomplex healthcare systems.
• Will be trained to cover PSR job duties.

Skills & Qualifications:

• Strong understanding of PRC guidelines, insurance precertification, and third - party billing.
• Experience with Medicaid, Medicare, SocialSecurity, and private insurance.
• Proficiency in EMR systems (e.g., eClinicalWorks, Open Dental) and office software.
• Excellent communication, organizational, and problem-solving skills.
• An ability to advocate effectively for patients and navigate complex healthcare systems.
• High School Diploma or GED.
• Must be able to pass a healthcare providerbackground check.
• Must have a working knowledge of HIPAA law.
• Strong organizational skills.
• Self-motivated, adaptable to changes.
• Strong oral and written communication skills.
• Administration of Federal, State and LocalGrants.
• Associate Degree and/ or minimum of five yearsworking with Native Communities.
• 1-3 yrs. experience working with PRC/Indian Health Service/Patient Benefits.
• Working knowledge of healthcare insurance,billing, and reimbursement.
• Proficiency in electronic medical and dentalrecord software.
• Proficient in Excel, Word, and PowerPoint.

WORK ENVIRONMENT/PHYSICAL DEMANDS

• Fast paced with occasional high pressure or emergent situations.
• May wear PPE such as gloves or a mask.
• Frequent interaction with a diverse population including team members, providers, patients, insurance companies and other members of the public.
• Frequent sitting, standing, walking, reaching, grasping, carrying, and speaking.
• Frequent use of computer, keyboard, fax and copymachine, and telephone.
• Occasional bending, stooping, lifting less than20 pounds.
• Lifting, carrying, pushing, and pulling up to 50 pounds, with assistance if needed.

Application:

Preference will be given to qualified individuals of American Indian descent.

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed, as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.Management retains the right to add or to change the duties of the position at any time. Must be able to pass a pre-employment drug screen and applicable background checks related to the position

Lac Vieux Desert Health Center Mission Statement: The Lac Vieux Desert Health Center strives to provide excellence in health care and to inspire a culture of wellness.

Date Approved by the Tribal Council: 9/29/2025

LVD Health Center

Human Resources Department

P.O. Box 9, N5241 US45

Watersmeet, MI 49969

Email: [e-mail]

Website: http://www.lvdhc.org Phone:[phone] Ext. 102

Fax: [phone]

• A fun, safe, fast paced work environment
• Employee Meal Discounts
• Gas Discount at Citgo C-Store
• Golf Discounts
• Paid Lunch
• Paid Holidays
• Access to training programs

Great Benefits for Full Time Employees offered after 90 days of employment:

• LVD Pays 80% of the cost of these benefits with only a 20% responsibility from the employee.
• Health – Offering 14 different medical coverages.