Benefits Navigator Racine

JOB REQUIREMENTS: JOB PURPOSE AND REPORTING STRUCTURE: The PatientBenefits Navigator is a key clinic-based role at Racine Community HealthCenters. Under the direction of the Benefits Coordinator, thisindividual is responsible for assisting patients with insuranceenrollment, verifying coverage, and facilitating access to variousprograms. The position plays a critical role in expanding access tohealthcare services and addressing social determinants of health (SDOH)by providing personalized support and resource navigation tounderserved/vulnerable patients. The coordinator will offercomprehensive benefits guidance to ensure patients can effectivelynavigate available services and options. ESSENTIAL DUTIES ANDRESPONSIBILITIES Other duties may be assigned. Provide consumers withinformation and guidance to help them understand new health insuranceoptions and identify the most affordable coverage that meets theirneeds. Work collaboratively with Racine/Outreach Community HealthCenters (OCHC) clinics, community service programs, threeOCHC-subcontracted clinics, and community sites serving underservedpopulations to offer individualized support navigating community benefitprograms. Serve as a liaison between providers and the Benefits team tostreamline referrals, improve workflows, and ensure seamless servicedelivery. Assist patients with the single, streamlined applicationprocess to determine eligibility for Medicaid or the AffordableInsurance Marketplace. Applications may be completed in-office or in thecommunity using a mobile laptop. Maintain expertise in eligibility andenrollment rules, qualified health plan options, insurance affordabilityprograms, the needs of underserved/vulnerable populations, andprivacy/security standards. Conduct sliding fee scale assessments anddetermine patient eligibility in accordance with organizational policiesand federal guidelines. Provide information and assistance in a fair,accurate, and impartial manner that is culturally and linguisticallyappropriate and accessible to individuals with disabilities. Completeall required federal and state consumer assistance training and maintaincompliance. Coordinate with interpreters to assist patients with limitedEnglish proficiency. Track application statuses, conduct follow-ups toensure approvals, and address denials, lapses, or gaps in coverage.Accurately document all patient interactions, eligibilitydeterminations, and outcomes in EPIC, and maintain physical filescontaining applications and verification documents. Maintain androutinely... For full info follow application link. We are anAffirmative Action/Equal Opportunity Employer. We consider qualifiedapplicants for employment without regard to race, religion, color,national origin, ancestry, age, sex, gender, gender identity, genderexpression, sexual orientation, genetic information, medical condition,disability, marital status, or protected veteran status. APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/5B8886DF8F924D2F

Created: 2025-12-18