Care Navigator
Title: Care Navigator
Schedule: Monday-Friday, 10am to 6:30pm (with 30min unpaid break) Tucsoon, AZ (1:00 AM to 9:30 AM Manila Time)
Reports to Clinical Administration Manager (Crisel)
The Care Navigator is assigned a small portfolio of clients and is responsible for their client experience. The Care Navigator should easily be able to build rapport with clients, explain complex information in a simple way, and work with other members of the team to get the most accurate information. This is a generalist position, and specialists in each of these areas will train and guide decision-making and processes.
The tasks include:
Finance and Billing
* Updating client profiles to ensure they are accurate and up to date
* Checking insurance eligibility and benefits before each appointment
* Charging client invoices before appointments
* Monitoring timely completion of Provider notes for each appointment
* Sending insurance claims after each appointment
* Communicating with each client about their eligibility and benefits, any changes, and outstanding payments
Clinical
* Medication refills
* Prior authorizations
* Collaborating with other providers as needed for client care (ROIs, scheduling support)
* Coordinating client referrals
* monitoring and tracking health measures
* ensuring annual labs for all clients are on file, ordered and the provider is informed.
* ensuring Abnormal Involuntary Movement Scale is on-file for clients receiving antipsychotic medications and inform the provider for when these are next due
* ordering GenoMind testing
Administration
* Monitoring and responding to portal messages
* Assigning tasks to the provider and other team members as needed
* Following up with other team members to complete tasks for the client
* Monitoring client scheduling changes and ensuring clients are active in care
* Escalating any issues, complex questions, or tasks to our specialist team members
Requirements
Qualifications:
- Bachelor’s degree in healthcare administration, business, or a related field (preferred).
- Minimum of 2 years of experience in reviewing and interpreting healthcare insurance policies.
- Strong understanding of healthcare benefits, eligibility criteria, and billing processes.
- Excellent communication skills, both written and verbal, with the ability to convey complex information in an understandable manner.
- Demonstrated problem-solving and critical thinking skills to address client issues effectively.
- Proficiency in billing software and relevant healthcare technology systems.
- Detail-oriented with strong organizational skills and the ability to manage multiple priorities.
- Ability to work independently and collaboratively within a team environment.
Source ⇲
Bruntwork Careers