Community Resource Navigator - Insurance & Benefits

Description

HealthFirst is seeking a Community Resource Specialist to join our team of mission-minded professionals. While Community Health Worker certification is not required at the time of hire , the successful candidate must obtain certification within one year . This is an excellent opportunity for someone who can hit the ground running and provide hands-on support to patients needing help with insurance applications, sliding-fee programs, and navigating community resources.

Key Responsibilities

• Assist patients with insurance and benefits navigation (Marketplace, NH EASY, Medicaid, etc.)
• Process sliding-fee applications, discuss payment options, and arrange payment plans
• Ensure timely follow-up on applications, referrals, and patient contacts
• Provide patient education and advocacy related to community resources (food, housing, transportation, childcare, etc.)
• Support community outreach events, including occasional evenings/weekends
• Collaborate with billing and patient services teams to resolve coverage or payment issues
• Verify and update demographics, consents, and related documentation during each interaction
• Serve as a knowledgeable point of contact for patients needing assistance throughout Open Enrollment
  

What We Offer

• A meaningful role that directly impacts patient access to care and essential services
• A supportive, collaborative team environment
• Training on HealthFirst systems, workflows, and community resource tools
• Opportunities to grow professionally—including support in obtaining your CHW certification

Requirements

Required

• High school diploma or equivalent
• Community Health Worker (CHW) certification — or ability to obtain certification within one year of hire
• Minimum of 2 years’ experience in a healthcare, human services, or insurance benefits setting
• Strong customer service skills with clear, compassionate communication
• Solid computer proficiency and comfort learning new systems
  

Preferred

• Certified Application Counselor (CAC) designation through CMS, or willingness to obtain
• Familiarity with medical terminology
• Experience working with diverse populations and strong cross-cultural communication skills