Eligibility and Navigator Specialist (62086)

Join the Diversus Health Team: Where Your Career Meets Purpose and Well-being! At Diversus Health, we’re dedicated to transforming mental and behavioral healthcare to improve lives. Our mission is to provide trusted, affordable, and personalized care that empowers individuals to lead healthier, more fulfilling lives.

Benefits

When you join our team, you’re not just another employee—you’re part of a community that values your growth, well-being, and success.

• Exceptional Health Benefits (medical, dental, vision) – comprehensive coverage for you and your family’s health needs.
• 401(k) Company Match with 4% fully vested – planning for your future made easier.
• Generous Vacation & Sick Time – because we know work-life balance is essential for your well-being.
• Paid Long-Term Disability Coverage – peace of mind for those unexpected times when you need it.
• Paid Holidays including 3 Floating Holidays – take the time you need to recharge on your terms.
• Employee Assistance Program – including free therapy access to support your mental health.
• Professional Development Funds – we invest in your growth through courses, conferences, and certifications.
• Robust Training Program – get the skills and knowledge you need to excel in your career.
• Second Language Monthly Bonus (subject to assessment) – for those with bilingual skills, earn extra for your ability to connect with more individuals.

Responsibilities

• Supports clients with Health First Colorado Application eligibility (Colorado’s Medicaid Program).
• Be familiar with documentation needed to apply for benefits, including:
  • Social Security numbers for applicants who have them.
  • Immigration document numbers for non-citizens.
  • Name, address, contact info, and birth date for applicants.
  • Employer and income information for everyone in the household (e.g., pay stubs or W2 forms).
  • Other income information including Social Security Administration (SSA) or Supplemental Security Income (SSI) payments and mentions.
  • Information and policy numbers for health insurance plans covering members of the household, including Medicare.
• Be familiar with Health First Colorado income guidelines.
• Provides a variety of support services in connection to the day-to-day operations in a healthcare environment servicing Same Day Access (SDA) clients at all SDA sites, including:
  • Monitoring SDA access clients at all sites for timeliness.
  • Coordinating with staff in SDA to get clients to the appropriate staff member.
  • Troubleshooting technology issues (telehealth connectivity, meeting links, etc.).
  • Utilizing Fast Pass for appropriate clients.
  • Identifying areas for improvement within SDA.
• Reports pertinent information and recommendations to leadership in accordance with the center/program goals and objectives.
• Must consistently stay calm while interacting with customers telephonically or in person.
• Must adapt to a consistently changing fast-paced environment that requires excellent multi-tasking skills.
• Must be flexible with business needs and report daily with a “can do” approach.
• Assists with training new team members and ensures staff is updated on new processes, procedures, and assigned tasks.
• Supports clients with applying for assistance for Health First Colorado (Colorado’s Medicaid Program).
• Pulls and returns calls (SDA).
• Maintains training for front desk coverage (documentation needed and all other eligibility requirements, including scheduling).
• Handles work emails and other correspondence submitted for clients, including sending documents to other departments as required.
• Navigates the Same Day Access service needs of clinicians and clients, assists with setting appointments, rescheduling, or referring them to internal or external resources and professionals, and completes enrollment as needed for clients to receive services.
• Actively stays informed on process changes and collaborates with the Same Day Access Team.
• Maintains knowledge of services offered within Diversus Health and the processes to provide those services.
• Consistently maintains prompt attendance to provide excellent customer service.
• Works collaboratively with multiple departments to provide support with SDA needs.
• Participates in the monitoring, collection, and reporting of data.
• Attends regular meetings with SDA and other teams.
• Closes SDA programs once a client has been assigned for ongoing treatment.
• Seeks and maintains efficiencies for Diversus Health patient access processes.
• Develops and maintains strong internal/external working relationships and communications.
• Attends and completes all required job-specific trainings and meetings as designated.
• Promotes and maintains a positive work environment and encourages resiliency.
• Represents Diversus Health as a professional, ethical, and positive steward of the mission of the organization during community events and meetings.
• Performs all other duties as assigned.

Schedule

Monday - Friday, 8:30 AM - 5:30 PM (in-person).

Requirements

• Minimum high school diploma or equivalent experience.
• Strong work experience in the customer service industry, preferably 2+ years.
• Excellent data entry skills; type 25+ words per minute.
• Excellent computer skills, with extensive experience using programs within Microsoft Office, including Word, Outlook, and Excel (preferred).
• Electronic Health Records experience a plus.
• Excellent verbal and written communication skills.
• Excellent organizational skills.
• Ability to maintain sensitive and confidential information.
• Strong ability to interact successfully with a variety of individuals.
• Strong knowledge of “Release of Information” process (preferred).
• Proven work history in a fast-paced environment with competing priorities and the expectation to multi-task.
• Bilingual/Spanish preferred.