Marketplace Enrollment Navigator

Job Duties

The Marketplace Enrollment Navigator is a member of the Enrollment & Financial Services and Outreach teams, responsible for screening/enrollment/advocacy and navigation of financial programs on behalf of patients, including, but not limited to OWCHC, State, Local, and Federal programs, specifically the Health Insurance Marketplace. The Marketplace Enrollment Navigator will conduct outreach and in-reach activities about the Health Insurance Marketplace, Medicaid, and CHIP. They will assist patients and community members with understanding and completing the enrollment process through the Health Insurance Marketplace exchanges. The Navigator will also discuss treatment plans and costs with the patient and help create a payment plan that falls within the set policies of the billing office if necessary. The Navigator will work collaboratively with all office staff to ensure a well-executed financial plan is established for the patient.

• Target outreach and education efforts to specific populations with the most opportunity to enroll.

• Educate patients on the Health Insurance Marketplace, the different insurance plans available, and how each works.

• Maintain caseload of patients as determined by the program-specific guidelines. Makes and coordinates referrals and follow-up appointments. 

• Provide intake on clients as directed per clinic session (internal financial programs, Medicaid, Marketplace, etc.).

• Maintains accurate record keeping in both patient charts and clinic administrative tools.

• Interpret OneWorld Community Health Centers and other agency activities, policies and services for clients. Make and coordinate appointments in OneWorld clinics and specialty clinics.

• Track eligibility status for determined program, complete renewal process and provide advocacy with appropriate documentation in NextGen Practice Management System and Outreach Database.

​​​​​​​​​​​​​​The tasks outlined above are intended to provide a general overview of the role and are not an exhaustive list of all duties, responsibilities, or job functions. Additional tasks may be assigned as needed to support the business, and responsibilities may evolve to meet the changing needs of the organization. 

• Demonstrated ability to read, write, and perform essential job duties as assigned.

• Proficiency in both English and Spanish required.

• Ability to complete Medicaid training and agency orientation within the first 30 business days of hire.

• Application Counselor Certification through the Health Insurance Marketplace required (if ability to complete within first 60 days of hire).  

• Medical office experience – experience in a finance department or equivalent education in a related field of study preferred.

• A foundational understanding of health care billing, reimbursement, insurance, and/or accounting practices, with willingness to learn new insurance exchange practices.

• Ability to work independently, organizing time, but committed to the team function with minimal supervision. 

• Possess high attention to details and organizational skills; the ability to establish and maintain appropriate filing system for the retrieval of needed information. 

• Ability to build rapport with diverse populations and backgrounds. 

• Ability to create innovative ideas and implement new ideas or processes.

• High comfort level with computer programs, word processing, data management, and medical charts, or willingness to learn.

OneWorld Community Health Centers, Inc. provides a competitive benefits package that includes Medical, Dental, and Life Insurance; Tuition Reimbursement; 401(k); free fitness center, and more.  If you want to apply your unique skillset to a diverse, caring, growing nonprofit that serves 50,000 patients, please apply.

You can make a difference – in your life and the lives of others.

OneWorld Community Health Centers, Inc. is committed to ensuring equal opportunity and non-discrimination in all hiring and employment practices.  We are committed to equal treatment for all applicants and employees and will not discriminate based on age, race, color, ancestry, national origin, disability, sex/gender, gender identity, sexual orientation, religion, pregnancy, genetic information, veteran status, or any other basis protected by law.

 Equal Opportunity Employer