Health Navigator

🔥 12 hours ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

✨ Navigator

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BlueCross BlueShield of Tennessee

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1952

⚕️ Healthcare Insurance

Healthcare Insurance

BlueCross BlueShield of Tennessee is a leading health plan provider in Tennessee, serving 3. 4 million members. The company is committed to creating a workforce where everyone is valued, respected, and part of the team, emphasizing diversity and inclusion. They offer a range of career opportunities, including internships through their BlueBridge program, enabling new professionals to transition from college to work. BlueCross BlueShield of Tennessee also focuses on providing exceptional customer service and community care, striving to make a difference in the healthcare industry. It is an independent licensee of the Blue Cross Blue Shield Association and a qualified health plan issuer in the Health Insurance Marketplace.

📋 Description

• Conducting educational telephone calls advising members of available benefits, services and programs; completes health needs assessment, and refers members to population health management programs as appropriate. • Reaching out to members with identified gaps in care; encouraging and motivating them to become compliant; offering assistance in locating providers and appointment scheduling. • Managing system work queues; screening identified members for eligibility, prior case activities, recent claims, customer service inquiries and authorization history; assigning members to clinical team for call outreach and intervention. • Facilitating research and analysis of inquiries and/or complaints related to processes and designations, member lost incentives, and other program related inquiries. • Work overtime as needed • Various immunizations and/or associated medical tests may be required for this position.

🎯 Requirements

• Associates Degree in education, communication, or health related field or equivalent work experience • 2 years - Experience in a customer service support role is required • Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability • Proficient interpersonal and organizational skills • Independent, Sound decision-making and problem-solving skills • Must be able to work in an independent and creative manner • Self-motivated and able to manage multiple tasks and set priorities • Effective time management skills • Excellent oral and written communication skills • Strong interpersonal and organizational skills • Knowledge in Medical terminology

🏖️ Benefits

• Remote role with occasional onsite training and quarterly Chattanooga meetings (for those within driving distance) • Schedule: Monday–Friday, 9 a.m.–6 p.m. EST