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Navinet Jobs (NOW HIRING)

Avance Consulting Services

.Net developer

Philadelphia, PA · On-site

$48.75 - $64.25/hr

... and Navinet Open knowledge is a plus Qualifications .NET Strong .NET 4.0, C#, VB, IIS developer with web services and REST/JSON API . Additional Information All your information will be kept ...

Winston Medical Staffing

Be Seen First

Medical Receptionist

Freehold, NJ · On-site

$20 - $23/hr

... Navinet, Avality portals, verify coverage, to determine benefit levels and patient co-pays, as needed · Requesting Prior Authorizations · Enter information in computer system, experience working ...

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Navinet information

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How much do navinet jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for navinet in the United States is $17.71, according to ZipRecruiter salary data. Most workers in this role earn between $15.87 and $19.23 per hour, depending on experience, location, and employer.

What is a NaviNet specialist?

A Navinet specialist is a professional who is proficient in using the NaviNet platform, which is a healthcare communication and workflow management tool. These specialists help healthcare providers, payers, and patients access and exchange important healthcare information such as insurance eligibility, claims status, and referrals. They often provide support, training, and troubleshooting for users to ensure efficient use of the system. Their expertise helps streamline administrative tasks and improve overall healthcare coordination.

How does a NaviNet specialist collaborate with healthcare providers and payers to resolve issues and ensure smooth information exchange?

As a Navinet specialist, you'll frequently act as a liaison between healthcare providers and insurance payers, helping both parties navigate the platform to address eligibility, claims, and authorization issues. You'll often collaborate with provider offices to troubleshoot technical problems and train staff on best practices, while also communicating with payer representatives to escalate and resolve complex cases. This role requires strong communication skills and the ability to manage multiple tasks efficiently, as you'll be balancing routine support with periodic training or project work. Working closely with IT and customer service teams is common to maintain seamless operations and continuous platform improvement.

What are the key skills and qualifications needed to thrive as a NaviNet specialist, and why are they important?

To thrive as a NaviNet Specialist, you need a solid understanding of healthcare payer-provider workflows and experience with the NaviNet platform, often supported by a background in healthcare administration or IT. Familiarity with electronic health records (EHRs), insurance verification systems, and secure data exchange protocols is typically required. Attention to detail, strong problem-solving abilities, and effective communication skills help specialists manage complex information and assist users. These skills ensure accurate, efficient processing of healthcare transactions and optimal use of the NaviNet system in connecting payers and providers.

What is the difference between Navinet vs Medical Billing Specialist?

AspectNavinetMedical Billing Specialist
CredentialsTypically requires knowledge of healthcare systems, insurance, and possibly certifications like CPC or CPC-HRequires knowledge of billing codes, insurance claims, and often certifications like CPC or CPC-H
Work EnvironmentHealthcare provider offices, insurance companies, or billing service companiesMedical offices, billing companies, or healthcare facilities
Employer & Industry UsageUsed by healthcare providers and insurance networks for claims processingEmployed by healthcare providers and billing firms to process patient bills and insurance claims
Search & Comparison IntentOften compared for understanding healthcare claims systems and billing processesCompared for billing procedures, coding, and claims management skills

Navinet is a healthcare claims management platform used by providers and insurers, while a Medical Billing Specialist handles billing and coding tasks within healthcare settings. Both roles require knowledge of insurance and billing procedures but differ in their primary functions and work environments.

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Navinet jobs near you
Infographic showing various Navinet job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 87% Full Time, 9% Part Time, and 2% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $36,833 per year, or $17.7 per hour.

Billing & Authorization Specialist - Medical & Home Care

Providence, RI • On-site

In Home Wellcare
See more jobs at In Home Wellcareexternal

Full-time

Medical, Vision

Re-posted 29 days ago

Job description

Billing & Authorization Specialist – Medical & Home Care

In Home Wellcare – Providence, RI

In Home Wellcare, a licensed home care agency in Rhode Island, is growing quickly and we’re looking for the right person to join our team. This is a great opportunity for someone with billing experience who wants to be part of a mission-driven company, get exposure to both home care and medical billing, and grow with a supportive team. We also offer same-day pay to make things easier for our employees.

This is an on-site position, not remote. It’s best suited for someone with billing experience who’s ready to take their skills to the next level in a collaborative office setting.

Position Summary

The Billing & Authorization Specialist plays a key role in daily billing operations, verifying authorizations, tracking insurance changes, and submitting claims. Because clients can change coverage without notice, daily billing and eligibility checks are essential to prevent service interruptions.

You’ll be working with:

  • Axxess – caregiver EVV/time tracking
  • Inovalon – clearinghouse/claims
  • NaviNet & RI Medicaid Provider Portal – eligibility and authorizations

Sunday billing is required to meet submission deadlines, with flexibility during the week to balance the workload.

Key Responsibilities

  • Daily Billing & Issue Tracking – Submit claims, monitor denials, rebill as needed.
  • EVV Oversight – Monitor caregiver clock-ins through Axxess for accuracy and compliance.
  • Authorization Management – Track, request, and verify prior authorizations.
  • Claims Submission – Use Inovalon to submit/manage claims, monitor rejections and updates.
  • Insurance Verification – Run daily eligibility checks in NaviNet and RI Medicaid Provider Portal.
  • Billing Code Accuracy – Use correct HCPCS codes and modifiers (S5125 – Home Care, S5130 – Homemaker, T1001 – Nurse Visit, plus modifiers UH, UJ, TV, U1).

Qualifications

  • Direct experience with medical or home care billing and authorization workflows.
  • Proficiency in Axxess, Inovalon, NaviNet, and RI Provider Portal.
  • Strong attention to detail and follow-up.
  • Available Sundays to meet 8 PM billing deadlines.
  • Must work on-site (not remote).
  • Bilingual (Spanish/English) strongly preferred.

What We Offer

  • Same-day pay
  • Medical coverage available
  • A welcoming and inclusive workplace
  • Opportunities to grow with a fast-paced, mission-driven healthcare company

Our Mission, Vision & Values

  • Mission – Provide compassionate, innovative, and culturally sensitive care.
  • Vision – To be a guiding light for those in need, offering care that feels like home.
  • Values – Compassion · Innovation · Diversity · Integrity · Collaboration · Excellence · Client-Centered Service