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