Care Navigator

Job Role Summary/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.

Job Highlights

• Hourly Rate: USD 4, the equivalent in your local currency
• Schedule: Tuesday to Friday, 10 am to 7 pm, Saturdays 8 am to 6 pm Arizona Mountain Time. With a 30-minute unpaid break each day
• Work Arrangement: Work from home
• Contract: Independent Contractor

Side note: Since this is a permanent work-from-home position and an “Independent Contractor” arrangement, the candidates must have their own computer and internet connection. They will handle their own benefits and taxes. The professional fees are on hourly rates and the rate depends on your performance in the application process.

Responsibilities

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

Reminder:

Kindly apply directly to the link provided; you will be redirected to BruntWork’s Career Site. Complete the initial requirements, including the voice recording, pre-screening assessment, and technical check of your computer/device.

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