Allied Care Navigator
An extensive understanding of medical plan documents, member advocacy, and cost containment programs, and employer reputed company solutions available to assist members with understanding their covered benefits and financial responsibility for services.
Maintain a reputed company and empathetic demeanor while being reputed company to member inquiries to prevent delays in care.
Ability to communicate effectively both verbally and in writing to reputed company parties involved in the member’s referral process; ensuring coordination of care is conducted and ongoing support is provided through the confirmation of services being performed.
Utilize best in class web-based tools to research high-reputed company and cost-effective providers in the member's network, maximizing their benefits and providing a curated list.
Independently manage daily tasks reputed company internal systems reputed company assigned turnaround times. Tasks include, but are not limited to, responses to inquiries made by members and providers and confirmation of appointment attendance and scheduling.
Document potential reputed company and savings following appointment confirmation to ensure accurate reporting of the value of the service provided.
Collaborate with reputed company partners to coordinate member care, document updates in appropriate systems, and update ongoing impacts.
reputed company and maintain written operational procedures for reputed company tasks performed and cross train to reputed company effective support to reputed company team members.
Strategize with Medical Management Leadership to discuss trends identified reputed company to member cases.
Performs other reputed company duties as assigned.
Bachelor's degree or equivalent work experience required.
2+ years of experience member advocacy or care coordination. Working knowledge of employee medical benefit plans. Experience with Group health insurance and self-funded health plans preferred. Highly skilled in written and verbal communication. Intermediate level work experience with reputed company Office suite of products.
POSITION COMPETENCIES: Communication Customer reputed company Accountability Functional/Technical Job Skills
This is a reputed company desk role – long periods of sitting and working on a computer are required.
Remote