HybridMajority remote, with occasional required in-person work at the clinic.
Social & Community ServicesCase Management & Advocacy
About the job
Requirements
Proficiency in insurance eligibility verification, explanation-of-benefits interpretation, and benefit navigation, including deductibles, copays, coinsurance, and out-of-pocket maximums.
Ability to accurately determine and communicate patient financial responsibility for services.
Experience with Medicaid, Medicare, Affordable Care Act Marketplace, commercial insurance, and financial assistance programs.
Demonstrated ability to build trust and rapport with patients.
Strong problem-solving and resource navigation skills.
Ability to manage multiple patient needs simultaneously.
Strong organizational and follow-up skills.
Ability to work collaboratively across departments and community partners.
Commitment to patient-centered care and recovery support.
Responsibilities
Assist patients with Medicaid enrollment, renewal, and eligibility maintenance.
Conduct proactive outreach to patients approaching Medicaid renewal deadlines.
Educate patients regarding Medicaid requirements, workforce exemptions, reporting obligations, and other program requirements.
Assist patients in navigating Medicare, Marketplace, and other available insurance options.
Coordinate with Revenue Cycle and eligibility teams to address coverage concerns before treatment is interrupted.
Help patients understand insurance benefits as they relate to Porch Light Health services.
Educate patients regarding self-pay options, payment plans, scholarship programs, hardship assistance, and other financial resources.
Assist patients with completion of financial assistance applications and required documentation.
Work collaboratively with internal teams to identify solutions that support continued treatment engagement.
Assess transportation barriers that may impact appointment attendance.
Connect patients with Medicaid transportation benefits, Uber Health resources, and other transportation programs.
Coordinate transportation support when appropriate to reduce missed appointments and treatment interruptions.
Conduct outreach to patients who have missed appointments, disengaged from care, or are at risk of treatment interruption.
Identify and address non-clinical barriers affecting treatment adherence.
Partner with providers, Patient Care Coordinators, and operational teams to support patient re-engagement efforts.
Assist patients in resolving administrative, financial, or logistical challenges that may prevent them from remaining in care.
Connect patients with community resources related to food insecurity, housing instability, employment assistance, utility assistance, legal aid, and other social needs.
Assist patients with applications and enrollment processes for programs such as SNAP and other public assistance programs.
Maintain current knowledge of community resources available within assigned markets.
Build and maintain relationships with community organizations and resource providers.
Assist patients in accessing primary care, specialty care, behavioral health services, and other healthcare resources as appropriate.
Support patients in understanding and navigating healthcare systems and referral processes.
Help patients access telehealth services and address technology-related barriers to care.
Document patient interactions and interventions in accordance with company policies and procedures.
Track outcomes related to patient assistance activities, including benefit enrollments, transportation interventions, resource referrals, and patient re-engagement efforts.
Participate in reporting and quality improvement initiatives focused on access, retention, and patient success.
Desired Qualifications
Associate’s degree in Human Services, Healthcare Administration, Social Work, Psychology, Public Health, or a related field.
Experience in healthcare, patient services, customer service, care coordination, patient advocacy, community resources, insurance navigation, or social services.
Experience supporting underserved, vulnerable, or behavioral health populations.
About Porch Light Health:
Porch Light Health is a respected leader in the outpatient treatment of Opioid Use Disorder (OUD) and Alcohol Use Disorder (AUD) and other addictive disorders. We foster a supportive and family-oriented environment where patients are treated with compassion, respect, and honesty. Our team believes that addiction is a chronic, relapsing brain disease, and we are passionate about helping individuals navigate their recovery journey. We provide Medication-Assisted Treatment (MAT), Methadone treatment, and behavioral health services, helping patients discover their purpose and build a healthy community. We are seeking a dedicated and compassionatePatient Care Coordinator Medical Assistantto join our growing team in a fast-paced, dynamic medical setting.
About the Patient Navigator Role:
The Patient Navigator serves as a dedicated member of the Porch Light Health care team, helping patients overcome barriers that may interfere with their ability to access, engage in, and remain connected to treatment. Acting as a trusted guide and advocate, the Patient Navigator assists patients in navigating insurance coverage, financial assistance programs, transportation resources, community services, and other social determinants of health that impact recovery and overall well-being.
This role works closely with providers, Patient Care Coordinators, the Call Center, Revenue Cycle, and community partners to proactively identify and resolve challenges before they disrupt treatment. While not providing clinical services, counseling, case management, or social work services, the Patient Navigator plays a critical role in supporting patient engagement, retention, and successful treatment outcomes.
About You:
Responsibilities and Duties:
Insurance and Benefits Navigation
Assist patients with Medicaid enrollment, renewal, and eligibility maintenance.
Conduct proactive outreach to patients approaching Medicaid renewal deadlines.
Educate patients regarding Medicaid requirements, workforce exemptions, reporting obligations, and other program requirements.
Assist patients in navigating Medicare, Marketplace (ACA), and other available insurance options.
Coordinate with Revenue Cycle and eligibility teams to address coverage concerns before treatment is interrupted.
Help patients understand insurance benefits as they relate to Porch Light Health services.
Financial Assistance and Affordability
Educate patients regarding self-pay options, payment plans, scholarship programs, hardship assistance, and other financial resources.
Assist patients with completion of financial assistance applications and required documentation.
Work collaboratively with internal teams to identify solutions that support continued treatment engagement.
Transportation and Access Support
Assess transportation barriers that may impact appointment attendance.
Connect patients with Medicaid transportation benefits, Uber Health resources, and other transportation programs.
Coordinate transportation support when appropriate to reduce missed appointments and treatment interruptions.
Patient Engagement and Retention
Conduct outreach to patients who have missed appointments, disengaged from care, or are at risk of treatment interruption.
Identify and address non-clinical barriers affecting treatment adherence.
Partner with providers, PCCs, and operational teams to support patient re-engagement efforts.
Assist patients in resolving administrative, financial, or logistical challenges that may prevent them from remaining in care.
Social Determinants of Health Support
Connect patients with community resources related to food insecurity, housing instability, employment assistance, utility assistance, legal aid, and other social needs.
Assist patients with applications and enrollment processes for programs such as SNAP and other public assistance programs.
Maintain current knowledge of community resources available within assigned markets.
Build and maintain relationships with community organizations and resource providers.
Healthcare Navigation
Assist patients in accessing primary care, specialty care, behavioral health services, and other healthcare resources as appropriate.
Support patients in understanding and navigating healthcare systems and referral processes.
Help patients access telehealth services and address technology-related barriers to care.
Documentation and Reporting
Document patient interactions and interventions in accordance with company policies and procedures.
Track outcomes related to patient assistance activities, including benefit enrollments, transportation interventions, resource referrals, and patient re-engagement efforts.
Participate in reporting and quality improvement initiatives focused on access, retention, and patient success.
Qualifications:
Associate’s degree in Human Services, Healthcare Administration, Social Work, Psychology, Public Health, or a related field (preferred).
Equivalent combination of education, experience, and demonstrated success working with patients will be considered.
Experience in healthcare, patient services, customer service, care coordination, patient advocacy, community resources, insurance navigation, or social services (preferred).
Experience supporting underserved, vulnerable, or behavioral health populations (preferred).
Proficiency in insurance eligibility verification, EOB interpretation, and benefit navigation, including deductibles, copays, coinsurance, and out-of-pocket maximums. (Required)
Ability to accurately determine and communicate patient financial responsibility for services. Experience with Medicaid, Medicare, ACA Marketplace, commercial insurance, and financial assistance programs. (Required)
Knowledge, Skills and Abilities
Demonstrated ability to build trust and rapport with patients.
Strong problem-solving and resource navigation skills.
Ability to manage multiple patient needs simultaneously.
Strong organizational and follow-up skills.
Ability to work collaboratively across departments and community partners.
Commitment to patient-centered care and recovery support.
Success Measures
Medicaid enrollments and renewals completed.
Insurance coverage interruptions prevented.
Transportation barriers resolved.
Community resource referrals completed.
Patients successfully re-engaged in treatment.
Reduction in avoidable treatment disruptions due to non-clinical barriers.
Patient satisfaction and engagement outcomes.
Why This Role Matters
At Porch Light Health, we believe recovery should not be limited by transportation challenges, insurance complexities, financial hardship, or lack of access to community resources. The Patient Navigator helps ensure that patients have a knowledgeable advocate and guide who can help remove barriers and keep them connected to the care and support they need to succeed.
Work Setting & Hours:
Majority will be remote with occasionally requirement of in-person, in clinic.
8:00am - 4:30pm, M-F
Benefits:
401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance
Anticipated Application Window - This role is anticipated to close within 30 days from the date of posting. However, if the position has not been filled, PLH may keep the application period open longer.