Demo

Health Access Navigator

sstar
River, MA Full Time
POSTED ON 1/28/2025
AVAILABLE BEFORE 3/28/2025

Job Description:

About Us

We’re more than just quality treatment for substance use disorders. We’re a total health community. At SSTAR, our mission is healing the community, one person at a time. We will provide a personal level of healthcare and addiction treatment that addresses the mental, physical, and spiritual well-being of everyone we touch. SSTAR is a Federally Qualified Health Center (FQHC) which affords our employees eligibility to apply for one of our three Loan Repayment Programs.

 

The Health Access Navigator is responsible for assisting individuals to identify, enroll, and access affordable health insurance options through Medicaid and the Health Insurance Marketplace.

Benefits

  • 403B
  • Dental insurance
  • Disability insurance through Massachusetts PFML
  • Employee discounts, cell phone, eyewear etc.
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance
  • Flexible Spending Account
  • Opportunities to earn CEU's
  • Voluntary Benefits including but not limited to, Disability, Life, Critical Illness, Accident and Disability Insurances

Duties & Responsibilities

  • Knowledge of eligibility requirements for Medicaid, Medicare, other alternate medical and social service programs/benefits available
  • Understands the process for eligibility and submission of health insurance applications
  • Ability to monitor and complete reports to funders to support enrollment and outreach programs.
  • Knowledge of NextGen EMR system to document income verifications and update demographics of health center patients.
  • Monitor enrollment status of clients and families to ensure completion of application process.
  • Participate in outreach and advocacy activities that promote available services
  • Assist qualified clients for enrollment into the Health Insurance Marketplace application program ensuring applications are completed and submitted accurately
  • Ensures compliance with HIPAA and the Privacy Act when collecting or releasing patient information including patient personal, financial, and medical confidentiality
  • Attend classes, seminars, and workshops in order to maintain current knowledge of public benefit programs and web-based benefits application sites.
  • Demonstrates excellent patient relations skills on the phone and in-person,
  • Provide education to patients and staff on the Sliding Fee Scale Program requirements and eligibility
  • Maintain accuracy of related policies, procedures, forms, and materials that support of the Sliding Fee Scale Program requirements (e.g., registration and scheduling, financial eligibility, screening, enrollment, patient notifications, billing, and collections.
  • Cross-train and build awareness of community health worker services among the health care team and provide assistance when needed.

Experience and Skills:

 Education & Experience

  • Knowledge and understanding of the State Health Administration.
  • Two years’ experience in outreach and/or working with uninsured/underserved clients.
  • Knowledge of medical services in the greater Fall River area.
  • Computer experience using MSWord and Excel.
  • Ability in creating and implementing innovative programs for a diverse population.

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