Certified Patient Navigator

Community Health Programs | Berkshire County, MA

POSITION HIGHLIGHTS

• 30 hours per week: this position is benefits eligible.
• Training provided: if you're not already a Certified Patient Navigator, CHP will support you and provide the necessary training to become one.
• Location: may be required to work at CHP's locations throughout Berkshire County (Adams, Pittsfield, Lee, and Great Barrington).

ABOUT CHP

Community Health Programs (CHP) is a community health center caring for people throughout the Berkshires. Our mission is to nurture and inspire healthy lives for people throughout the Berkshires by delivering exceptional and compassionate health care and family services.

THE ROLE

The Certified Patient Navigator provides advocacy, information, enrollment, and follow-up assistance to CHP patients and the community at large seeking health, wellness, and ancillary services within the practices. The Certified Patient Navigator helps patients navigate Massachusetts health care, including enrollment, reinstatement, billing, and troubleshooting, while providing the best customer service to all patients. This is a 30-hour-per-week, benefits-eligible, grant-funded position that is supported by CHP while the grant is active and may not be converted into a permanent position. This person will support CHP's mission, vision, and values and will adhere to compliance protocols as well as CHP's policies and procedures.

WHAT YOU'LL DO

• Respond to incoming requests for assistance with the application and enrollment process; assist new and returning patients with expired or no insurance coverage in applying for available state subsidized programs, including Mass Health, Commonwealth Care, and the Health Safety Net; assist with transitioning between health plans and using the Health Insurance Exchange website.
• Work with clients and outside agencies to ensure insurance is activated and duly covered; answer inquiries by phone and in person about eligibility guidelines, application requirements, and services covered.
• Assist patients with various issues, including those related to other medical groups, hospitals, and other social organizations.
• Attend community outreach and enrollment assistance events; collaborate with other organizations (BHS, Advocacy for Access, and other local support service providers) regarding mutual patients.
• Document patient encounters and progress in the Electronic Health Record (Athena) and provide complete records for data collection, analysis, and reporting requirements; provide monthly reports and statistics on enrollment numbers and referrals as required for grant documentation.
• Keep current on updates related to Mass Health and other state benefits and enrollment processes by attending conferences and forums and reviewing email updates.

WHAT YOU BRING

• Excellent customer service and interpersonal skills; handle issues with tact and diplomacy; exhibit objectivity and openness to others' views; give and welcome feedback; contribute to a positive team spirit; display the highest degree of professionalism and ethics.
• Respond promptly to customer needs and to requests for service and assistance.
• Strong ability to multi-task and manage projects; take initiative, follow through, and manage different tasks with quick turnaround time.
• Excellent verbal and written communication skills; prepare and present statistical and other reports, oral or written, as required.
• Ability to research and interpret complex regulations; understand and analyze billing information to develop process re-engineering based on business needs.
• Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents; respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community.
• Ability to calculate figures and amounts; solve practical problems and deal with a variety of concrete variables where only limited standardization exists; interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
• Serve as a subject matter expert; keep knowledge current by attending required trainings and meetings.
• Punctual and reliable; ability to meet commitments.
• Knowledge of and respect for HIPAA regulations.
• Must read, write, and speak English; bilingual applicants encouraged.

QUALIFICATIONS & REQUIREMENTS

• Associate's degree, or a combination of education and experience, or 2 or more years of experience.
• Knowledge of Microsoft Office including Outlook, Word, PowerPoint, and Excel, as well as Electronic Health Record systems (Athena experience preferred).
• Must initially pass and later maintain annual certification requirements as outlined by the State of Massachusetts.

PHYSICAL & MENTAL REQUIREMENTS

The following are physical and mental demands which may or may not be applicable to this position.

Physical Demands

• Constant: Hearing, seeing, color vision, reading, math, oral and written communication.
• Frequent: Depth perception, operating equipment.
• Occasional: Reaching, handling.
• Minimal: Balancing, stooping, kneeling.

Mental Demands

• Constant: Interpersonal skills, implementing, evaluating, organizing, handling, public contact, concentration.
• Frequent: Specifying, stressful situations.
• Occasional: Interpreting, consulting, analyzing, presenting.
• Minimal: Decision-making.

Equipment Operated: Computers, copiers, printers, fans, calculators, various medical office equipment and supplies

WHY JOIN CHP?

• Mission-driven work: make a direct, everyday difference in the health of your neighbors and community.
• A team that has your back: join a work environment that is caring, collaborative, and innovative.
• Life in the Berkshires: live and work in a region known for its natural beauty, outdoor recreation, and vibrant arts and culture.

Ready to make a difference? Apply today!

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Community Health Programs is an Equal Opportunity Employer.