What are the responsibilities and job description for the Marketplace Enrollment Navigator position at OneWorld Community Health Centers?
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.