CARE ACCESS NAVIGATOR
Company: Vitra Health
Location: Braintree
Posted on: October 19, 2024
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Job Description:
About the Role:The Care Access Navigator is a brand ambassador
responsible for preparing and obtaining documentation needed for
insurance prior authorization, continuity of care, and maintaining
our consumers on their program. This administrative role supports
Vitra Health's commitment to excellent healthcare delivery and
growth. The members of this team are cross trained in various
administrative tasks, and the workflow reflects the daily needs of
our consumers.About Us:VITRA Health is vital in providing
comprehensive assistance to caregivers who care for friends and
family in their own homes. We understand that most caregivers face
financial and emotional challenges, often without compensation or
support for their selfless efforts. By joining us, you can be part
of the solution to these challenges. If you have a positive
attitude and love helping people, VITRA Health is for you. Our
highest priority is our team's health, happiness, and success.Perks
and Benefits:Health InsuranceDental and Vision BenefitsSupplemental
Benefits including; Life, Accident, Critical Illness and Disability
Insurance;401K with a company matchGenerous
Paid-Time-OffCompetitive pay rateUnique one-on-one care
environmentAn extensive continuous training programSupportive team
structure and company culture with a focus on work/life balancePaid
training opportunitiesUpward career movement and
growthResponsibilities/Essential FunctionsObtain a working
knowledge of Vitra Health program offerings and operational
workflowsRequest and maintain medical documentation from healthcare
providers, including progress notes, imaging studies, and other
necessary medical reports;Compile and review documentation from
internal and external sources and complete necessary follow-up to
ensure consumers continued program enrollmentVerify insurance and
submit requests for services to a variety of insurance providers
according to individual processesCommunicate effectively with
multidisciplinary care teams, healthcare providers, and insurance
companies regarding medical documentation and prior authorization
requirementsKeep accurate records and update patient files with all
necessary patient, provider, and insurance informationProvide
excellent customer service by expediting and prioritizing requests
based on a variety of factorsTriage incoming faxes and direct to
the appropriate team member or patient chartMaintain detailed
documentation related to consumers, providers, and relevant
workflowsSupport the department with administrative tasks including
answering phones, directing calls, email correspondence,
photocopying, sending faxes, scanning, filing, etc.Escalate client
concerns and/or progress concerns to management as
necessaryMaintain the highest standard of confidentiality for all
protected health informationServes as a brand ambassador for Vitra
reflecting our vision, mission, and valuesShows a genuine interest
and compassion for the communities we serve and commitment to the
diversity of our clients and team membersMentor and supports team
membersComplete other tasks as assignedEducation, Experience and
Licensure Requirements2+ years prior experience with high-volume
record processing is required, preferably in the healthcare
industry2+ years' experience and complete comfort using Microsoft
SuiteExcellent problem-solving, customer service, and communication
skills requiredPrior experience with Hubspot, Salesforce, Optum,
Wellsky, RingCentral or similar platforms preferredPhysical and
Environmental DemandsWorks in a clean well-lit environment with
fluctuating temperatures close to others.Requires substantial
periods of repetitive work utilizing a computer, monitor, keyboard,
and mouse.Requires lifting and carrying equipment and supplies
weighing up to 35 pounds; requires pushing and pulling equipment
and supplies weighing up to 35 pounds; requires walking and
standing; requires frequent sitting more than 75% of the workday;
requires the ability to negotiate stairs; requires visual acuity
and manual dexterity to operate equipment.
Keywords: Vitra Health, Nantucket , CARE ACCESS NAVIGATOR, Other , Braintree, Massachusetts
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