Patient Benefits Navigator

Patient Benefits Navigator Watersmeet, Michigan Health Clinic Hourly Full Time – Non-Exempt Salary: $18.26 - $23.55 Per Hour Posting Expiration: December 16th, 2025 Eligible for a one-time $1,500.00 Sign-on Bonus Upon hire: PTO, Dental, Vision, Health Insurance Position Summary Patient Benefits Navigator primarily supports patients of LVD Health Center by assisting in obtaining and maintaining health insurance and other eligible government assistance programs. This role serves as the benefits champion to the patient care team in identifying and addressing barriers to coverage and ensuring timely access to care and services. Additionally, the position will serve as a secondary contact for LVDHC PRC eligible patients and may from time to time assist in the patient services area. Primary Responsibilities Managing patient demographics within multiple systems. Assisting patients in obtaining and maintaining health insurance, working with Medicare, Medicaid, private insurers, and social service agencies. Monitoring PRC eligibility, determining payment sources, and ensuring Medicare-Like Rates are applied as appropriate. Promoting insurance enrollment and maintenance for all patients. Continuously monitoring systems data to ensure continuous coverage of insurance, both primary and secondary (when applicable). Coordinating patient referrals, appointments, and transportation, ensuring compliance with PRC and Contract Health guidelines. Processing and tracking PRC and third-party claims from initiation through payment; maintaining complete and timely documentation in EMR and other systems. Maintaining detailed databases, voucher logs, and records of disbursements and patient communications. Communicating with outside providers, insurers, and agencies regarding claims and service coordination. Supporting Tribal Elders in securing and maintaining appropriate coverage. Experience with Medicaid, Medicare, Social Security, and private insurance. Advocating effectively for patients and navigating complex healthcare systems. Will be trained to cover PSR job duties. Skills & Qualifications Strong understanding of PRC guidelines, insurance precertification, and third-party billing. Experience with Medicaid, Medicare, Social Security, and private insurance. Proficiency in EMR systems (eClinicalWorks, Open Dental) and office software. Excellent communication, organizational, and problem-solving skills. Ability to advocate effectively for patients and navigate complex healthcare systems. High School Diploma or GED. Must be able to pass a healthcare provider background check. Must have working knowledge of HIPAA law. Strong organizational skills. Self-motivated, adaptable to changes. Strong oral and written communication skills. Preferred Qualifications Administration of Federal, State and Local Grants. Associate Degree and/or minimum of five years working with Native Communities. 1-3 years experience working with PRC/Indian Health Service/Patient Benefits. Working knowledge of healthcare insurance, billing, and reimbursement. Proficiency in electronic medical and dental record software. Proficient in Excel, Word, and PowerPoint. Work Environment / Physical Demands Fast paced with occasional high pressure or emergent situations. May wear PPE such as gloves or a mask. Frequent interaction with a diverse population including team members, providers, patients, insurance companies and other members of the public. Frequent sitting, standing, walking, reaching, grasping, carrying, and speaking. Occasional bending, stooping, lifting less than 20 pounds. Frequent use of computer, keyboard, fax and copy machine, and telephone. Application Preference will be given to qualified individuals of American Indian descent. Must pass pre-employment drug screen and applicable background checks related to the position. Must be able to pass a healthcare provider background check. Must have a working knowledge of HIPAA law. Benefits A fun, safe, fast paced work environment Employee Meal Discounts Gas Discount at Citgo C-Store Golf Discounts Paid Lunch Paid Holidays Access to training programs LVD Pays 80% of the cost of these benefits with only a 20% responsibility from the employee. Health – Offering 14 different medical coverages. Lac Vieux Desert Health Center Mission Statement: The Lac Vieux Desert Health Center strives to provide excellence in health care and to inspire a culture of wellness. Date Approved by the Tribal Council: 9/29/2025 LVD Health Center ‑ Human Resources Department P.O. Box 9, N5241 US45 Watersmeet, MI 49969 Email: View email address on click.appcast.io Website: Phone: View phone number on click.appcast.io Fax: View phone number on click.appcast.io #J-18808-Ljbffr Northern Waters Casino Resort