Member Services Navigator II - Mount Sinai Solutions
Tasks
- Answer benefits and billing questions
- Arrange scheduling and follow up
- Assist with access to medical records
- Assist with appointment scheduling
- Coach colleagues on complex navigation tasks
- Complete high priority customer navigation requests
- Conduct referral research
- Conduct service recovery
- Coordinate care across primary and specialty providers
- Coordinate with health center providers and staff
- Coordinate with insurers and pharmacies
- Develop subject matter expertise in navigation content areas
- Document and update knowledge management collateral
- Explain health benefits and financial responsibility
- Identify and access healthcare providers
- Identify opportunities to improve member experience
- Implement new navigation workflows and policies
- Implement process improvements
- Implement tailored navigation programming
- Liaise with internal customers team
- Maintain customer knowledge management and workflows
- Monitor service SLAs and escalate issues
- Obtain prior authorizations
- Participate in navigator recruiting
- Serve as expert on major customer
- Serve as single point of contact for member questions
- Train colleagues
- Troubleshoot technology for members
Perks/Benefits
- N/A
Skills/Tech-stack
Appointment Scheduling | Benefits Administration | Billing support | Care Coordination | Communication | Customer support | Knowledge Management | Medical records | Prior authorization | Referral management | Service Level | Service Level Agreement | Technology troubleshooting
Education
Related jobs
-
CRM | Communication | Community outreach | Customer Relationship Management | Customer ServiceFlexible scheduling | Free Uniforms | Performance bonus | Training and developmentEntry-level Part TimeSanta Barbara, CA, US1d ago
-
Veterans Enrollment Coordinator USD 45K-54KCommunication | Education policy | Educational Benefits | Higher Education | Higher education policyDeferred compensation | Dental insurance | Disability insurance | Life insurance | Medical insuranceEntry-level Full TimeVAN DOREN HALL, United States4d ago
-
Appointment Scheduling | Biometric Data | Computer Troubleshooting | Customer Service | Data Privacy401k match | Free AAA membership | Learning reimbursement | Paid Holidays | Paid time offEntry-level Part TimeKing of Prussia, PA, 19406, United …4d ago
-
LIFE Enrollment Coordinator - Somerset County, NJ USD 90K-122KCommunication | Interpersonal skills | Record Keeping | Scheduling401k | Continuing education | Dental insurance | Medical insurance | Paid time offEntry-level Full TimeBRIDGEWATER, NJ, United States5d ago
-
Appointment Scheduling | Customer Service | FERPA Compliance | Multi Line Phone Systems | Phone supportFlexible scheduleEntry-level Part TimeCSN - North Las Vegas Campus, …6d ago
-
Remote CCM/RPM Enrollment Coordinator (CMA/RMA) USD 34K-40KBLS | CMS Compliance | Care management | Chronic Care Management | Electronic medical records401k retirement plan | Growth opportunities | Health, dental, vision coverage | No weekend work | Paid time offEntry-level Full TimeUnited States - Remote R7d ago
-
Provider Enrollment/Credentialing Coordinator USD 45K-60KApplication processing | CAQH | Communication | Credentialing | Data ManagementEntry-level Full TimeMontgomery, AL, United States11d ago
-
Remote CMA/RMA Enrollment Coordinator USD 34K-40KBilingual (English/Spanish) | Bilingual English | CMS guidelines | Care Coordination | Care Plan401k | Dental insurance | Growth opportunities | Health insurance | Life insuranceMid-level Full TimeUnited States - Remote R12d ago
-
Care Coordinator, Embedded (Savannah, GA) USD 105K-140KCare Coordination | Clinical Documentation | EMR | Escalation Protocols | Healthcare terminology401k match | Accident insurance | Critical illness insurance | Daytime Schedule | Flexible spending accountsMid-level Full TimeSavannah, GA13d ago
-
Care Coordinator, Embedded (Bowie, Maryland) USD 90K-95KCare Coordination | Electronic medical records | Escalation Protocols | Excel | Healthcare terminology401k company match | Accident insurance | Critical illness insurance | Daytime hours | Dental insuranceMid-level Full TimeBowie, MD13d ago
-
Care Coordinator, Embedded @ Partnered-Dialysis Clinics USD 105K-145KCare Coordination | Clinical collaboration | EMR | Email | Follow-up401k match | Dental insurance | Flexible spending account | Life insurance | Long-term disabilityMid-level Full TimeTulsa, OK13d ago
-
Bilingual Fulfillment Coordinator USD 38K-45KCommunication | Customer Service | Microsoft Access | Microsoft Excel | Microsoft Outlook401k retirement savings | Company holidays | Dental benefits | Life insurance | Long-term disabilityMid-level Full TimeOH 3371 Executive, United States14d ago
-
Robotics, Clubs & Competition Coordinator USD 44K-48K3D Printing | Behavioral Health Group Facilitation | Behavioral health | CAD | Clinical supervisionEntry-level Full TimeWhiteriver, Arizona, United States15d ago
-
Enrollment Coordinator USD 40K-57KAttention to detail | Community outreach | Customer support | Data Management | Enrollment TrackingDental insurance | Flexible Summer PTO | Health insurance | Health savings account | Mental Health and Counseling SupportEntry-level Full TimeNewark, NJ, United States18d ago
-
Enrollment Coordinator - (930614) USD 44K-52KAssessment | Case management | Communication | Customer Service | Data ManagementConfidentiality | Learning opportunities | Networking opportunitiesMid-level Full TimeChesterfield, VA, United States21d ago
-
Customer Service Coordinator, Order Fulfillment USD 35K-36KCustomer Relationship Management | Customer relationship | Customer support | Data entry | Order processingEntry-level Full TimeMI - 3196 Kraft Avenue SE …1mo ago
-
Enrollment Coordinator USD 42K-68KAttention to detail | Communication | Customer Service | Data entry | Document ManagementFlexible schedule | Remote workMid-level Full TimeUS - MO - Remote, United … R1mo ago
-
Assistant Director of Recruitment and Outreach, School of Engineering and Computer Science USD 70K-80KCommunication | Event planning | Interpersonal skills | Organization | Public RelationsDental insurance | Medical insurance | Retirement plan | Tuition remission | Vision insuranceExecutive-level Full TimeWaco, TX, United States1mo ago
-
CME Planning and Data Analyst Full Time Days USD 52K-83KAdobe | Canva | Communication | Customer Service | Data AnalysisFlexible schedule | Work from home optionsMid-level Full TimeKoppel, United States1mo ago
-
Payor Enrollment Coordinator- PAA USD 38K-40KCommunication | Organization | Project Management | Team Collaboration | Time managementMid-level Full Time700 Children's Drive, United States1mo ago
-
Enrollment Coach USD 40K-44KCommunication | Critical Thinking | Cultural competence | Customer Service | MultitaskingFull-time position | On-campus workEntry-level Full TimeFort Bend County Campus, United States1mo ago
-
Billing | Communication | Contract Negotiation | Credentialing | Database ManagementMid-level Full TimeCharleston, United States1mo ago
-
Access & Enrollment Intake Specialist USD 36K-46KCommunication skills | Data entry | EMR data | EMR data entry | Insurance verificationMid-level Full TimeLenoir, NC, US1mo ago
-
Lead Fulfillment Associate USD 46K-50KCommunication | Data Analysis | Inventory Management | Logistics | Microsoft OfficeCasual dress code | Health and safety equipment | Safe work environmentSenior-level Full TimeKansas City, Missouri, USA1mo ago
-
Communication | Customer Service | Event planning | Multitasking | OrganizationCareer growth | Employee recognition | Flexible schedule | Learning and development opportunities | Paid lunchesEntry-level Full TimeKeene, ON, K0L 2G0, CAN1mo ago