Care Navigator

BruntWork | Full time: 35 paid hours per week or more

• Work Timezone - Must be a City eg London Tucson, AZ
• Work Schedule Fixed Schedule
• Job Type Full time: 35 paid hours per week or more
• Date Opened 01/10/2025
• Remote Job
• Industry Other

Job Description

This is a remote position. Title: Care Navigator Schedule: Monday-Friday, 10am to 6:30pm (with 30min unpaid break) Tucson, 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
• 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.

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