Navigator Enrollment Spec

The Navigator/Enrollment Specialist will meet in-person with interested individuals to determine eligibility and facilitate the selection of Qualified Health Plans or other public health benefit programs including Medicaid, Childrens Health Insurance Program (CHIP), Supplemental Nutritional Assistance Program (SNAP), and Transitional Assistance for Needy Families (TANF). Navigator/Enrollment Specialist will provide community outreach and education resources and ensure that Texans have in-person enrollment assistance throughout the service region.

• Assist with application completion, ensuring understanding of the options available, when to make

changes and who to contact for additional questions, appeals, grievances or complaints.

• Provide Medicaid application assistance to all potentially eligible clients.
• Assist applicants to apply via online
• Assist applicants with the paper application process.
• Submit all paper applications to the State Medicaid office
• Remit documentation to the State and MA site when requested.
• Provide application assistance for the Sliding Fee Discount Program for eligible customers.
• Provide general education and application assistance to customers eligible for tax credits to purchase health insurance.
• Participate in outreach and in-reach activities to promote awareness and education about
• available medical assistance programs.
• Assist consumers with making changes under qualifying circumstances, and renewing during appropriate renewal periods.
• Maintain knowledge of policies, procedures, electronic health record, and other system use.
• Keep accurate and complete records for reporting, including financial application logs, daily

encounters, medical record keeping, etc.

• Complete required reports and supportive information and submit to Lead Navigator in a timely

manner

• Track progress toward goals and regularly communicate with Lead Navigator about

performance and needed adjustments

• Work collaboratively with members of the advocacy and business communities to deliver a cooperative and coordinated effort around public education, outreach and enrollment assistance
• Attend on-going education and training
• Contribute and develop teamwork within group to accomplish project objectives and to have

pleasant, cordial work environment

• Schedule, coordinate, and deliver community educational presentations, seminars, and outreach events as well as provide enrollment assistance to target population
• Provide excellent customer service to both internal and external clients
• Respect clients, coworkers, partner, and management
• Be willing and able to work flexible schedules including weekends and overtime as requested

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

• Experience working with federal government and federal regulations

• Significant knowledge about health insurance, health coverage operations, and federal health care
• Experience developing and implementing health education and outreach programs
• Experience in client enrollment services
• Proficiency in Word, PowerPoint, and Excel
• Experience with or ability to learn software packages and client service tracking systems
• Capacity to work independently and interdependently
• Ability to think strategically and use good judgment
• Excellent and effective oral and written communication skills, with strong group presentation skills
• Strong analytical and writing skills
• Comfortable and effective at working with culturally diverse groups of individuals
• Able to successfully manage differing needs, interests and viewpoints.
• Two years previous healthcare office experience
• Basic knowledge of health insurance and health service delivery.
• Proficiency using the internet and basic knowledge of MS Office, Excel
• Proficiency with electronic health record systems
• Experience with customer service and engagement with underserved communities
• Basic knowledge about medical assistance programs like Medicaid
• Good interpersonal skills and ability to work well will the public
• Ability to obtain and maintain Certified Application Counselor (CAC) certification, Community Partner Program (CPP) Certification
• Ability to use prescribed calculations to determine income eligibility.
• Bilingual (Spanish/English) skills are preferred.

• Required Education: High School Diploma or Equivalent

  Certifications: CAC certification and Medicaid Assistance Certification provided upon employment.