Job description

The Family Health Center (FHC) was established in 2018 in Vincennes, Indiana. Through the support of our community partners, the health center was established to provide the community with affordable primary and behavioral health care. An ongoing relationship with our community partners will allow the health center to expand services and improve the overall health of the communities we serve.

Position Summary

The Health Insurance Navigator will become a certified Insurance Navigator through the state of Indiana. They will work with all self-pay patients to obtain Medicaid, commercial health insurance coverage via Marketplace, or a sliding fee scale discount based on the federal poverty guidelines. The Health Insurance Navigator will coordinate with other community agencies to help a patient with any type of socioeconomical deficiencies. They will continue to work with the patient as long as the patient needs any type of assistance.

Essential Duties and Responsibilities

The essential functions include, but are not limited to the following:

1. Successfully complete online Navigator Training and Certification during the initial training period and maintain annually thereafter

2. Continuously comply with all required Navigator duties as outlined by CMS

3. Protect personally identifiable information (PII) to ensure that confidentiality is maintained in accordance with HIPAA regulations

4. Assist patients with gaining a sliding fee scale discount by obtaining all required documentation to support the Federal Poverty Level guidelines for a household income

5. Assist patients with Medicaid applications to enroll as presumptive coverage or full Medicaid as well as look at options for Marketplace coverage

6. Work with FHC billing department and central registration when insurance has been obtained as presumptive, full Medicaid, or a Marketplace coverage for entry into the patient’s registration in EPIC

7. Monitor on a monthly basis all self-pay patients to see if Medicaid was obtained via a different source, so the patient’s insurance can be billed

8. Help schedule all patient’s appointments, new and/or follow-up, with the appropriate provider based on the type of service and insurance

9. Screen all behavioral health patient calls for suicidal symptoms prior to scheduling their appointment

10. Identify and establish collaboration with community-based organizations and community sites for enrollment assistance, outreach and education events

11. Provide wrap around services when patients need assistance linking to other community agencies

12. The above duties and responsibilities are not an exhaustive list of required responsibilities, duties, and skills. Other duties may be added, and this job description can be amended at any time.

Minimum Qualifications (Knowledge, Skills, and Abilities)

a. Education: High School Diploma or GED

b. Ability to work well with all types of patients and staff, strong verbal and written skills as well as motivational skills

c. Ability to work independently and in a team environment and ability to multi-task.

Physical Demands and Work Environment

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions.

a. Mental: Attention to detail, possess critical thinking skills and ability to prioritize and manage multiple projects.

b. Physical: Manual dexterity, frequent prolonged sitting and visual and hearing acuity.

c. Skill: Computer, data analysis, communication with all levels of staff and patients, ability to understand government regulations due to health insurance enrollments

d. Working Conditions: Clean, Well-lighted and Ventilated office environment.

Job Type: Full-time

Pay: $18.00 - $35.00 per hour

Benefits:

• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Professional development assistance
• Vision insurance

Medical specialties:

• Addiction Medicine
• Psychiatry

Schedule:

• 10 hour shift
• 8 hour shift
• Day shift
• Monday to Friday

Education:

• High school or equivalent (Required)

Work Location: In person

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