Patient Eligibility & Plan Navigator

St. Joseph's Health; Paterson (NJ); On-site; USD 42,000 - 56,000; Full time

Job summary

St. Joseph's University Medical Center is seeking a full-time Administrative & Clerical professional to enroll patients in suitable health care plans.

The role involves evaluating patient needs, income, age and immigration status to select appropriate coverage and assisting with NJ Family Care applications. Responsibilities include collaborating with Outpatient Case Managers and Community Medicine Outpatient Account Reps to process insurance applications and ensure compliance with program

Qualifications

• ACA Certification for Certified Application Counselor preferred.
• Experience assisting with the NJ Family Care application.
• Ability to problem solve using the information provided by patients.
• Ability to work with the Outpatient Case Managers to assist with patient's needs.
• Ability to work with the Community Medicine Outpatient Account Reps to assist with insurance applications.

Responsibilities

• Assist patients in evaluating their healthcare needs, income level, age, and immigration status to enroll in an appropriate health care plan.
• Collaborate with Outpatient Case Managers to support patients' insurance needs.
• Assist with completing NJ Family Care applications and related insurance paperwork.

Skills

Problem solving

Customer service

Communication

Job description

Ensure patients are enrolled in an appropriate plan of Health Care Coverage by assisting patients in choosing a healthcare plan by evaluating their current healthcare needs, income level, age and immigration status.

Qualifications

ACA Certification for Certified Application Counselor preferred. Experience assisting with the NJ Family Care application; Ability to problem solve using the information provided by patients; Ability to work with the Outpatient Case Managers to assist with patient's needs; Ability to work with the Community Medicine Outpatient Account Reps to assist with insurance applications.

Job Info

• Job Identification 20261258
• Job Category Administrative & Clerical
• Posting Date 07/23/2026, 01:23 PM
• Job Schedule Full time
• Job Shift Day
• Locations St. Joseph's University Medical Center (On-site)