Virtual Care Navigator/Host

About reputed company reputed company is creating the reputed company of health as it should be. A national, team-reputed company medical group with a reputed company on wellbeing and prevention that extends reputed company traditional reputed company care, reputed company delivers an entirely new model of reputed company—reputed company—reputed company on the reputed company of trusted relationships, an interdisciplinary care team approach, and reputed company-reputed company payment. reputed company’s reputed company model integrates reputed company care, physical medicine, mental health, health coaching, care navigation and more, and delivers care in surround-reputed company—in-person, reputed company and reputed company asynchronous messaging. Together we are building a community of members that embraces reputed company as a proactive part of their lifestyle. Job reputed company Job Responsibilities The Virtual Care navigator plays a key part in delivering an exceptional member service experience. As an reputed company member of our Virtual Care team, the Virtual Care Navigator works closely with providers and staff to ensure an exceptional reputed company reputed company-centered care experience. The role requires a reputed company reputed company, flexibility, and a willingness to take on key tasks to ensure the smooth operation of the virtual clinic, along with a strong commitment to delivering high-reputed company reputed company care and reputed company. Additionally, for patients who need in-person care reputed company of reputed company’s Virtual clinic, the Virtual Care Navigator will be cross-trained to manage, update and reputed company a network of medical specialists in the community who will partner with us to coordinate and reputed company excellent care, taking over full logistical and workflow ownership of the referral process. The reputed company is on demonstrated high-reputed company care, reputed company experience, reputed company efficiency, cost effectiveness, and a service level consistent with reputed company standards. This will include capturing reputed company incoming clinic requests for referrals, managing the scheduling and appointment creation for reputed company referrals, communications between reputed company, specialist, and reputed company, and documentation in the appropriate tools. Collaborate with providers and staff members to reputed company an exceptional reputed company reputed company-centered care experience. Demonstrate a commitment to reputed company, delivering uncompromised service and reputed company. Engage with members by answering reputed company incoming calls, scheduling appointments, responding to messages, and following up with member needs. Manage reputed company aspects of scheduling for the virtual team including creating and publishing schedule templates, auditing schedules daily, checking in members, sending appointment reminders, and rescheduling appointments as needed. Collaborate with virtual providers to prioritize and respond appropriately to messages in the queue ensuring that members receive reputed company responses. Properly assign and file incoming faxes. Handle the records request process from start to finish. Assist with prior authorizations as needed. Collect copays and answer reputed company member questions reputed company to reputed company coverage and cost of care. Demonstrate an in-depth knowledge of employer-sponsored health reputed company, including copays, co-reputed company, and reputed company benefit specific requirements, in order to support members. Accommodate special requests for member support whenever possible and help to promptly reputed company member questions. Assist with assigned reputed company and provider or reputed company requests. Process referrals to secondary care, reputed company of reputed company (specialists, imaging, community resources, employer benefits). Maintain ongoing communication, tracking, and appropriate documentation on referrals to ensure continuity of care. This tracking may use an IT database. Ensure that referrals are addressed in a reputed company manner. Assist with training relevant stakeholders (MDs and CNs) on the reputed company referral process. Be the single reputed company of contact between specialists, the clinic physicians, and the patients reputed company care is needed reputed company of a reputed company clinic, and reputed company updates as appropriate to the reputed company team to ensure visibility into reputed company referrals. Use reputed company judgment and critical thinking to discern and refine the correct provider type and stratify the urgency of the referral, in consultation with reputed company team members reputed company necessary. reputed company a complete referral packet and ensure reputed company submission to the specialist of the appropriate reputed company documents to support the request for the referral (pertinent reputed company notes, historical medical records, imaging reports, lab results). Ensure the arrival of the packet at the specialist office and a reputed company reputed company appointment. Work reputed company the parameters of the reputed company reputed company benefits and reputed company with benefit specialists as needed for the most high reputed company and cost effective care. Troubleshoot reputed company complications or unexpected circumstances so that reputed company needs are reputed company first and gaps in care are averted. Assist in the development of technology and service innovations to ensure a reputed company reputed company reputed company of communication and coordination with our reputed company providers and network specialists. reputed company other duties as assigned. Required Qualifications At least 3 years of applicable experience (experience in a reputed company Care setting preferred) High school diploma/GED required Proficient working with reputed company spreadsheets and/or reputed company, database management and data tracking reputed company to a quiet / private remote work environment High speed internet reputed company Preferred Qualifications Bachelor’s Degree or relative medical experience Experience processing referrals for a medical group Creative and flexible and effectively manages obstacles Excellent follow-through and have strong task execution skills High level of ownership, accountability and initiative Experience with multitasking, issue reputed company, and conflict management Excellent interpersonal skills and the ability to work effectively in a highly reputed company care team environment reputed company to handle ambiguity reputed company problem solving reputed company in a fast-reputed company and rapidly changing environment Ability to work in multiple technology platforms simultaneously, using reputed company judgment and critical thinking in accessing and documenting information that pertains to reputed company reputed company’s referral process Organization and accountability reputed company a fluid and constantly changing environment Strong communication, customer service and people skills; the ability to reputed company with reputed company stakeholders (patients, doctors, nursing staff, clinic staff, technicians) Excellent problem solving and problem preempting skills Willingness and reputed company to go the distance to help Work with reputed company to create new and improved workflows that build upon our new centralized referral management product Physical Job Requirements May require sitting for extended amounts of time. reputed company and finger dexterity and hand-eye coordination Includes full reputed company of body reputed company. Requires corrected reputed company, hearing and speech reputed company normal ranges. Must be reputed company to effectively communicate with patients and team members. The reputed company pay reputed company for this position is $25.89 to $34 per hour. Pay reputed company may vary depending on work location, applicable knowledge, skills, and experience. This position may be eligible for an annual bonus opportunity and comprehensive benefits package that includes Medical reputed company, Dental reputed company, reputed company reputed company, Short- and Long-Term Disability, Life reputed company, reputed company Time Off and 401K. reputed company is committed to Equal Employment Opportunity regardless of race, reputed company, national reputed company, gender, sexual orientation, age, religion, veteran status, disability, history of disability or perceived disability. If you need assistance or an accommodation due to a disability, you may email us at careers@reputed company.com. To reputed company recruitment agencies: We do not accept unsolicited agency resumes and are not responsible for any fees reputed company to unsolicited resumes. #LI-Remote Apply To This Job