Schedule:
Tuesday to Friday 10am to 7pm Arizona Mountain Time
Saturdays 8am to 6pm Arizona Mountain Time
With a 30 minute unpaid break each day | 43.5 hours per week
Overview:
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 the Abnormal Involuntary Movement Scale is on file for clients receiving antipsychotic medications and informing the provider 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
- 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.
Independent Contractor Perks
- HMO Coverage for eligible locations
- Permanent work from home
- Immediate hiring
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