Patient Navigator

Patient Benefits Navigator

Watersmeet, Michigan

Health Clinic Hourly

Full Time – Non-Exempt

Salary: $18.26 - $23.55 Per Hour

Posting Expiration:
December 16th, 2025

Eligible for a one-time $1,500.00 Sign-on Bonus

Upon hire: PTO, Dental, Vision, Health Insurance

Patient Benefits Navigator primarily supports patients of LVD Health Center by assisting in obtaining and maintaining health insurance and other eligible government assistance programs. This role serves as the benefits champion to the patient care team in identifying and addressing barriers to coverage and ensuring timely access to care and services. Additionally, the position will serve as a secondary contact for LVDHC PRC eligible patients and may from time to time assist in the patient services area.

• Managing patient demographics within multiple systems.
• Assisting patients in obtaining and maintaining health insurance, working with Medicare, Medicaid, private insurers, and social service agencies.
• Monitoring PRC eligibility, determining payment sources, and ensuring Medicare-Like Rates are applied as appropriate.
• Promoting insurance enrollment and maintenance for all patients.
• Continuously monitoring systems data to ensure continuous coverage of insurance, both primary and secondary (when applicable).
• Coordinating patient referrals, appointments, and transportation, ensuring compliance with PRC and Contract Health guidelines.
• Processing and tracking PRC and third-party claims from initiation through payment; maintaining complete and timely documentation in EMR and other systems.
• Maintaining detailed databases, voucher logs, and records of disbursements and patient communications.
• Communicating with outside providers, insurers, and agencies regarding claims and service coordination.
• Supporting Tribal Elders in securing and maintaining appropriate coverage.
• Experience with Medicaid, Medicare, Social Security, and private insurance.
• Advocating effectively for patients and navigating complex healthcare systems.
• Will be trained to cover PSR job duties.

• Strong understanding of PRC guidelines, insurance precertification, and third-party billing.
• Experience with Medicaid, Medicare, Social Security, and private insurance.
• Proficiency in EMR systems (eClinicalWorks, Open Dental) and office software.
• Excellent communication, organizational, and problem-solving skills.
• Ability to advocate effectively for patients and navigate complex healthcare systems.
• High School Diploma or GED.
• Must be able to pass a healthcare provider background check.
• Must have working knowledge of HIPAA law.
• Strong organizational skills.
• Self-motivated, adaptable to changes.
• Strong oral and written communication skills.

• Administration of Federal, State and Local Grants.
• Associate Degree and/or minimum of five years working with Native Communities.
• 1-3 years experience working with PRC/Indian Health Service/Patient Benefits.
• Working knowledge of healthcare insurance, billing, and reimbursement.
• Proficiency in electronic medical and dental record software.
• Proficient in Excel, Word, and PowerPoint.

• Fast paced with occasional high pressure or emergent situations.
• May wear PPE such as gloves or a mask.
• Frequent interaction with a diverse population including team members, providers, patients, insurance companies and other members of the public.
• Frequent sitting, standing, walking, reaching, grasping, carrying, and speaking.
• Occasional bending, stooping, lifting less than 20 pounds.
• Frequent use of computer, keyboard, fax and copy machine, and telephone.

Preference will be given to qualified individuals of American Indian descent.

Must pass pre-employment drug screen and…