NEOGOV · 13 hours ago
Benefit Navigator Presumptive Eligibility Determiner
Detention Center, NM
Full-time
Onsite
Entry Level
$43K/yr - $61K/yr
1+ years expNEOGOV is seeking a Benefit Navigation PE Determiner who will be responsible for providing Medicaid enrollment services and organizing programs within the detention center. The role involves acting as a patient advocate and educator, ensuring eligible consumers understand the application process and assisting them with necessary documentation.
GovTechHuman ResourcesInformation TechnologySoftware
Responsibilities
Screen eligible consumers for potential Medicaid eligibility
Encourage and assist PE applicants with the completion and submission of required forms
Explain the application process to applicants
Assure the completeness of information on the application and supporting documentation
Act as an advocate for the applicant by working with MAD or ISO to resolve eligibility barriers that may arise
Perform timely follow-up with applicants
Assist clients with the submission of recertification applications
Maintain procedures for follow-up and tracking of MAD program applications
Utilize the online dashboard to track all consumer activity
Process Emergency Medical Services Authority (EMSA) applications
HIPAA compliant
Participate in program meetings
Track data for programs within the detention center
Maintains scheduling of programs
Maintains program binder with all allowed contractors and volunteers
Implement, maintain, and provide oversight in document workflow
Review billing reports for accuracy. Act as liaison and interface with medical, accounting, and/or billing in regard to health coverage issues
Perform other job-related duties as assigned
Qualification
Required
High School Diploma or equivalent
Must have the ability to operate a computer, its software, and general office equipment
Valid New Mexico State Driver's License. Must have a good driving record to be insurable for liability purposes
Proficient in the use of MS Office and financial management software
Must successfully pass the PE/MOSAA Determiner training within sixty (60) days of hire
Good organizational skills
Good communication and interpersonal abilities
Experience in navigating Medicaid qualification or insurance eligibility
Ability to gather data, compile information, and prepare reports required
Excellent customer service skills required
Communication and organizational skills required
Cultural competence and the ability to work effectively with various constituencies in a diverse community are required
Computer skills required
Knowledge of State, Federal, and HIPAA regulations regarding the release of confidential information required
Reliable transportation with a valid New Mexico driver's license required
Preferred
1 year of Community Health Worker or experience with community, health programs
Public Speaking skills
Knowledge of community, state, and federal resources/services
Knowledge of financial accounting, budgeting, and cost control procedures
Willing to work a flexible schedule
Benefits
Part-time employees who work an average of 20 hours per week over the course of a year, receive vacation and sick leave on a pro-rated basis.
Company
NEOGOV
NEOGOV is the leading provider of workforce management software uniquely designed for the public sector, education, and public safety.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
$700MKey Investors
Warburg Pincus
2025-07-28Secondary Market· $700M
2025-07-28Acquired
2021-06-02Private Equity
Leadership Team
Shane Evangelist
CEO
Brandon McDonald
Head Of Marketing
Recent News
Canada NewsWire
2025-11-14
2025-11-14
Government Technology US
2025-10-31
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