Public & Insurance Navigator

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Full Time 40 hours per week Union Non Mgmt Washington, DC, US

7 days ago Requisition

Salary Range: $20.50 To $25.63 Hourly

Whitman-Walker envisions a society where all persons are seen for who they are, treated with dignity and respect, and afforded equal opportunity to health and wellbeing. Through care, advocacy, research, and education, we empower all persons to live healthily, love openly, and achieve equality and inclusion. For over 50 years, we have been meeting the needs of our communities with the endless dedication of our diverse teams.

The Public Benefits and Insurance Navigator role helps patients and DC, MD, and VA residents with health insurance and public benefits eligibility, enrollment, and literacy - connecting people to Medicaid, Medicare, and Qualified Health Plans on the exchange, subsidies, other insurance opportunities, and public benefits. The person in this role will gain technical content and client counseling and navigation skills. While the PBIN Navigator will be trained and supervised by the Legal Services program, they are part of a specialized Insurance Navigation Team that, since 2007, has worked closely with reception and billing staff as well as medical, behavioral, and dental staff to ensure health insurance coverage for our patients.

PBIN Navigator has been on the front lines of implementation of health reform as certified DC Health Link Assisters and providing critical consumer outreach and enrollment assistance to uninsured and under‑insured DC, MD, and VA residents.

• Performs and behaves in accordance with Whitman-Walker's mission, cultural norms, and core values of dignity, respect, affirmation, and humility.
• Maintains a respectful, non‑judgmental and compassionate manner with patients/clients/staff.
• Demonstrates excellent customer service by identifying and exceeding customer requirements.
• Adheres to Whitman-Walker's policies and procedures, with special attention given to HIPAA requirements.
• Maintains data integrity through conscientious use of relevant tools and employing a system of checks and balances.
• Demonstrates organizational skills necessary to multi‑task, meet deadlines, and re‑prioritize as needed.
• Participates in organizational quality and performance improvement activities.

• Must be a strong team player and able to cultivate good working relationships both internally as part of integrated services and externally with staff at the government offices where applications are filed and for troubleshooting and advocating with those offices.
• Manages assigned cases in Legal Server in which the Navigator has assisted clients in applying or advocating to external partners. Monitor the cases until there is a decision.
• The individual hired for this position will join the Insurance Navigation Team and rotate between all WWH sites.
• Assists consumers/patients by providing critical outreach, education, and counseling for consumers/patients seeking insurance.
• As part of Whitman-Walker's integrated service model, PBIN Specialists serve an important role to help ensure access to care.
• Screens for insurance options and assists eligible clients in applying for insurance through the DC Health Benefit Exchange or other relevant options.
• Assists with both Qualified Health Plan options as well as public benefit options, including but not limited to Medicaid, Medicare Savings Programs, the DC Healthcare Alliance, SNAP, TANF, HIV/AIDS‑specific public benefits (including AIDS Drug Assistance Programs, and AIDS Insurance Assistance Programs), and other public benefits across all Whitman-Walker jurisdictions.
• Participates in yearly Part D open enrollment working with legal services to support our client's medication needs.
• Explains the different options available through the Exchange or public insurance, the plan's affordability, cost‑sharing structure, and the consumer rights…