Job Details
Level
Experienced
Job Location
Headquarters – Baltimore, MD
Position Type
Full Time
Education Level
2 Year Degree
Salary Range
$22.60 Hourly
Job Shift
Day
Job Category
Nonprofit – Social Services
Job Purpose
– Full time 32 hours weekly
– Flexible Schedule
– Hybrid Schedule-Hybrid is defined as a flexible work model that supports a blend of in the physical office (1-2 days per week) and partially remote workplace.
The Certified Navigator – Bilingual has three main responsibilities: 1) assisting consumers with enrollment in Maryland Health Connection in-person at HCAM locations or at partner sites; 2) participating in outreach to the community, including outreach and enrollment events, speaking events, educational workshops, meetings with partner agencies, and home visits; and, 3) assisting consumers over the phone at HCAM’s Call Center. The Certified Navigator – Bilingual assists Limited English Proficient consumers in their native language.
The primary responsibilities for this position are:
- Participate in training and successfully pass certification to be a Certified Navigator (required for continued employment)
- Participate in continuing education training sessions and certification maintenance
- Understand eligibility requirements for Medicaid programs and Qualified Health Plans (QHPs) and enroll consumers into appropriate coverage
- Work directly with clients face-to-face, over the phone, or via email to resolve enrollment questions and concerns
- Distribute information about the individual health insurance exchange, including eligibility requirements for applicable federal premium subsidies, cost sharing assistance and state medical assistance
- Provide information about Medicaid Managed Care Organizations (MCOs)
- Assist consumers with application, enrollment, renewal, and special enrollment period processes for QHPs
- Provide information on participating insurance carriers and plans in the marketplace and assist consumers with plan selection
- Understand insurance terminology and educate consumers on health insurance literacy
- Provide information to clients about verifications, document submission and applicable deadlines
- Provide referrals to appropriate agencies, including the Attorney General’s Health Education and Advocacy Unit (HEAU) and the Maryland Insurance Administration (MIA), for applicants and enrollees with grievances, complaints, questions or the need for other social services
- Provide all information and services in a manner that is culturally and linguistically appropriate and ensures accessibility for individuals with disabilities or impairments
- Assists Limited English Proficient consumers in their native language, when the consumers prefer
- Participate in enrollment and outreach events
- Administrative duties related to documenting consumer information and data collection
- Escalate cases to Team Lead or Training and Quality Assurance specialists when appropriate
- Work closely with HCAM’s other programs to ensure comprehensive services to all consumers
- As assigned, answer calls and address consumer questions at the HCAM Call Center
- Other Duties as Assigned
Qualifications
- Associate’s Degree required. Bachelor’s degree preferred
- Demonstrated fluency in oral and written Spanish
- Excellent organizational skills
- Proven ability to meet deadlines
- Ability to effectively engage clients and connect them to resources
- Ability to comprehend and manage documentation in multiple databases
- Ability to problem solve
- Demonstrated initiative in approaching complex cases
- Proficient in MS Word, Excel, and Outlook
- Positive attitude in work duties and interactions with peers, clients and partners
- Ability to communicate well in writing, via phone, and face-to-face with professionals and clients
- Excellent customer service skills and ability to remain calm under pressure
- Ability to work in remote locations with little supervision
- Access to reliable transportation and ability to travel throughout the region
- Ability to work non-traditional hours
PHYSICAL REQUIREMENTS
While performing the duties of this position, the employee is regularity required to speak, listen, and respond to customers and providers. They will need to be able to key electronic data and be able to sit for extended periods. The employee must be able to lift at lease 15lbs.
SAFETY & HEALTH RESPONSIBILITY
HCAM is committed to providing and maintaining a safe, secure, and healthy work environment for all employees, clients served, volunteers and visitors. As part of this commitment, HCAM has developed safety, security and occupational health policies, practices, and standards.
With this understanding, all employees are required to: Adhere to all local, state and federal safety and environmental codes, ordinances, standards and laws; adhere to all HCAM and local safety plans, policies, practices and standards; be aware of and follow all safety rules of your work site; report any unsafe conditions or accidents to your supervisor; practice standard precautions (formerly universal precautions) at all times and; participate in mandatory or available safety training.
WORK ENVIRONMENT
While performing the duties of this job, the employee is exposed to indoor conditions. The employee will be subject to noise.
Our Culture – Health Care Access Maryland
HCAM is dedicated to fostering diversity, equity, and inclusion in our commitment to support our employees and the Marylanders we serve.
HCAM’s DEI Vision Statement: “To be regarded as a leader in equitable access to health care through policy and practices, and a workplace whose culture promotes diversity, values its team, and fosters inclusion.”