Patient Insurance Navigator

Medquest-Imaging-1; Winston-Salem (NC); Hybrid; USD 40,000 - 60,000; Full time

Job summary

MedQuest Imaging in Winston-Salem is seeking a Patient Insurance Navigator to guide patients through insurance options and enrollment, coordinating with providers and insurers to ensure access to care while minimizing financial burden.

This role emphasizes clear communication, knowledge of Medicaid/Medicare and private plans, and assistance with enrollment and appeals to support patient-centered outcomes.

Qualifications

• High school diploma or equivalent required; Associate's degree or higher preferred.
• Experience in healthcare, insurance, social services, or related field.
• Strong knowledge of health insurance terminology, policies, and procedures.
• Excellent communication and interpersonal skills to assist diverse patients.
• Proficiency with computer systems and data entry for maintaining patient records.

Responsibilities

• Conduct thorough assessments of patients' insurance coverage and eligibility.
• Assist patients in understanding their insurance benefits, including coverage limitations and out-of-pocket costs.
• Guide patients through insurance enrollment, renewal, and appeals processes as needed.
• Collaborate with healthcare providers and insurance companies to resolve coverage issues and obtain prior authorizations.
• Maintain accurate records of patient interactions and insurance documentation to support billing and compliance.
• Provide education and resources to patients about insurance options and financial assistance programs.
• Stay current with changes in insurance policies, healthcare regulations, and community resources.

Skills

Communication skills

Health insurance terminology

Interpersonal skills

Data entry

Computer systems proficiency

Education

High school diploma or equivalent

Associate's degree or higher preferred

Bachelor's degree in healthcare administration or related field (preferred)

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Patient Insurance Navigator

PCC EPIC Full Time Administration Winston-Salem, NC, US

About Company:

About MedQuest Imaging

Founded in 1996, MedQuest is one of the most experienced outpatient imaging providers in the United States. Through direct ownership and joint ventures, the company operates a mixed network of independent and hospital-affiliated radiology centers that perform diagnostic tests used to help identify, diagnose, and monitor a range of health conditions. In addition to providing expert solutions that include mammography, MRI, CT, ultrasound, and X-ray, MedQuest uses proprietary systems and processes to optimize center operations, control costs, and deliver an unmatched patient experience.

Patients, referring physicians, and healthcare systems count on MedQuest, and we’re growing to meet the demand. A career with our team includes limited or no weekend work, competitive salaries and benefits, and hybrid/remote opportunities based on role. To learn more, visit www.MQImaging.com .

About the Role:

The Patient Insurance Navigator plays a critical role in guiding patients through the complexities of health insurance coverage to ensure they receive the care they need without undue financial burden. This position involves working closely with patients to assess their insurance status, explain benefits, and assist with enrollment or appeals processes. The Navigator acts as a liaison between patients, healthcare providers, and insurance companies to resolve coverage issues and facilitate access to medical services. By providing personalized support and education, the Navigator helps reduce barriers to care and improves patient satisfaction and outcomes. Ultimately, this role contributes to the overall efficiency of healthcare delivery by ensuring patients understand and maximize their insurance benefits.

Minimum Qualifications:

• High school diploma or equivalent required; Associate's degree or higher preferred.
• Experience working in healthcare, insurance, social services, or a related field.
• Strong knowledge of health insurance terminology, policies, and procedures.
• Excellent communication and interpersonal skills to effectively assist diverse patient populations.
• Proficiency with computer systems and data entry for maintaining patient records.

Preferred Qualifications:

• Bachelor's degree in healthcare administration, social work, public health, or related discipline.
• Experience with Medicaid, Medicare, and private insurance plans.
• Familiarity with patient financial assistance programs and community health resources.
• Bilingual abilities, especially in Spanish, to support non-English speaking patients.
• Certification as a Certified Application Counselor (CAC) or similar credential.

Responsibilities:

• Conduct thorough assessments of patients' insurance coverage and eligibility.
• Assist patients in understanding their insurance benefits, including coverage limitations and out-of-pocket costs.
• Guide patients through insurance enrollment, renewal, and appeals processes as needed.
• Collaborate with healthcare providers and insurance companies to resolve coverage issues and obtain prior authorizations.
• Maintain accurate records of patient interactions and insurance documentation to support billing and compliance.
• Provide education and resources to patients about insurance options and financial assistance programs.
• Stay current with changes in insurance policies, healthcare regulations, and community resources.

Skills:

The Patient Insurance Navigator uses strong communication skills daily to clearly explain complex insurance information to patients from diverse backgrounds, ensuring they understand their options and responsibilities. Analytical skills are essential for assessing insurance coverage details and identifying potential gaps or issues that need resolution. Organizational skills are applied to manage multiple patient cases simultaneously, maintain accurate documentation, and coordinate with healthcare providers and insurers efficiently. Problem-solving abilities are critical when navigating insurance denials or appeals, requiring persistence and knowledge of regulatory frameworks. Additionally, cultural competency and empathy are vital to build trust and provide patient-centered support that respects individual circumstances and needs.