Member Services Navigator I -Mount Sinai Solutions

Tasks

• Answer benefits and billing questions
• Assist with access to medical records
• Assist with appointment scheduling
• Conduct follow up and prior authorization support
• Conduct service recovery
• Coordinate care across primary and specialty providers
• Coordinate with health center providers and staff
• Coordinate with insurance and pharmacies
• Document and update knowledge management collateral
• Identify and access high quality healthcare providers
• Implement process improvements
• Improve member experience and operational efficiency
• Navigate members through healthcare journeys
• Perform referral research and scheduling
• Serve as single point of contact for member questions
• Train colleagues
• Troubleshoot technology for members

Perks/Benefits

• Hybrid work schedule

Skills/Tech-stack

Appointment Scheduling | Benefits Administration | Billing | Care Coordination | Knowledge Management | Medical Records Access | Medical records | Prior authorization | Process Improvement | Provider Directory Navigation | Provider directory | Referral management | Service recovery | Technology troubleshooting | Training