Patient Benefits Navigator II

Los-Angeles-Lgbt-Center; Los Angeles (CA); On-site; USD 31,684 - 38,572; Full time

Benefits offered by this job

Medical

Dental

Vision

Life Insurance

Long-Term Disability

Employee Assistance Program

403(b) Retirement Plan

Job summary

The Los Angeles LGBT Center seeks a Patient Services Specialist II to enroll patients in insurance programs and link them to Center services. The role emphasizes helping LGBTQ individuals access Medi-Cal, Covered California, and other programs.

Under the Senior Manager of Benefits and Enrollment, you will ensure ongoing insurance coverage, assist with outreach, and coordinate with clinical teams to maintain continuity of care across programs and services.

Qualifications

• Experience working with the LGBTQ community and familiarity with issues relevant to LGBTQ people.
• Excellent verbal and written communication skills.
• Advanced knowledge of public benefits programs (Medi-Cal, BenefitsCal, Medicare, Ryan White, MHLA, ADAP, SSI, etc.).
• Must maintain Covered California certification or pass within 90 days in position.

Responsibilities

• Assist and directly enroll patients in payers including Medi-Cal, Covered California, ADAP, Ryan White, MHLA, OA-HIPP, EB-HIPP, and PrEP AP.
• Assess eligibility for private and public insurance coverage.
• Create and monitor client caseload reports to prevent loss of insurance.
• Provide information to clients regarding Medi-Cal, Covered California, ADAP, Ryan White and other payers.
• Outreach to patients who lost insurance coverage to re-establish eligibility.
• Review documentation for completeness and accuracy to ensure enrollment guidelines are met.
• Enter data into Covered California, BenefitsCal, One E-App, Casewatch, EHR and other systems.
• Coordinate with clinical staff to ensure continuity of care after medical visits.

Skills

Verbal communication

Written communication

People skills

Public benefits knowledge

Job description

The Los Angeles LGBT Center seeks a Patient Services Specialist II to enroll patients in insurance programs and link them to Center services. The role emphasizes helping LGBTQ individuals access Medi-Cal, Covered California, and other programs.

Under the Senior Manager of Benefits and Enrollment, you will ensure ongoing insurance coverage, assist with outreach, and coordinate with clinical teams to maintain continuity of care across programs and services.