INTAKE NAVIGATOR

Job Responsibilities

• Monitor referrals email and eFax inboxes.
• Assign referrals to Account Managers and/or Intake Navigators for follow-up.
• Review referrals for completeness and contact referral sources for missing information.
• Enter calls, inquiries, and prospective participant information into the central database.
• Upload paperwork into the central database, including forms and documentation.
• Follow up with referral sources, providers, and participants to gather missing paperwork.
• Send weekly reports to referral sources on the status of their referrals.
• Ensure timely responses to all inquiries and referrals.

Qualifications

• High School Diploma required, Associate Degree preferred.
• Minimum 2 years work experience in healthcare, preferably with MLTC, MAP, or PACE programs and/or homecare.
• Knowledge of Medicaid, Medicare, and PACE regulations for eligibility and enrollment.
• Proficiency with CRM platforms; knowledge of Care Compass preferred.
• Proficiency in Microsoft Excel, Word, Outlook, and Teams.
• Excellent interpersonal skills and ability to handle urgent situations.
• Comprehensive understanding of federal and state regulatory requirements with respect to health care eligibility, coverage, and services of various public programs.
• Experience in working independently without significant supervision.

Physical Requirements

• Standing for up to 6 hours a day.
• Sitting for up to 6-8 hours a day for consecutive periods.
• Lifting up to 50 pounds of equipment, baggage, supplies, and other items.
• Bending, squatting, climbing stairs, walking, and maneuvering stairs.
• Agility and fine motor skills for operating and activating equipment, devices, instruments, and tools.
• Sight, visual requirements for reading documentation, papers, orders, signs, and typing/writing.
• Auditory hearing and motor skills for listening and speaking with accuracy.
• Cognitive ability for decision-making, reasoning, and analysis.