Temporary Intake Navigator III

We are seeking a Temporary Intake Navigator III to support Medicare and Medicaid eligibility, enrollment, and entitlement processes for prospective and current participants. This role will help resolve eligibility issues, maintain accurate records, coordinate with internal teams and government agencies, and provide excellent customer service.

Schedule: Monday–Friday, 8:30 a.m.–5:30 p.m

Compensation:  $25-30 Per Hour

Responsibilities

·       Manage Medicare and Medicaid eligibility, entitlement, enrollment, renewal, and disenrollment issues.

·       Review required paperwork and financial documentation to ensure enrollment files are complete, accurate, and submitted on time.

·       Research and resolve eligibility discrepancies, coverage losses, denials, and reinstatement issues.

·       Coordinate with Finance, Social Services, and other departments to address eligibility and enrollment concerns.

·       Review and reconcile eligibility reports and participant records across applicable systems.

·       Prepare and maintain enrollment, entitlement, and compliance reports.

·       Communicate with participants, caregivers, referral sources, and government agencies regarding eligibility matters.

·       Support audits, quality improvement initiatives, and process updates to maintain compliance with applicable regulations.

·       Perform other duties as assigned.

 

Requirements

·       Bachelor’s degree in an entitlement-related or healthcare field preferred

·       2–3 years of experience with Medicare, Medicaid, nursing homes, MLTC, MAP, D-SNP, PACE, or a related government or social services agency

·       Knowledge of Medicare and Medicaid eligibility requirements, especially for dual-eligible and frail adult populations

·       Experience resolving eligibility, entitlement, enrollment, and coverage issues

·       Understanding of federal and New York State healthcare eligibility regulations

·       Strong communication, organization, problem-solving, and customer service skills

·       Ability to manage sensitive information and maintain accurate documentation