Temporary Virtual Care Navigator

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Crossover Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2010

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • Healthcare Insurance • Wellness

Crossover Health is a healthcare company focused on innovative primary care services. They offer both virtual and in-person healthcare solutions through their health centers, delivering a comprehensive range of services including primary care, physical medicine, mental health coaching, and occupational medicine. Crossover Health partners with employers and brokers to provide integrated healthcare plans that aim to reduce healthcare costs and improve patient outcomes. Since 2010, they have been pioneering an advanced primary care model in the United States, emphasizing a holistic approach to healthcare through their licensed care teams across all 50 states.

📋 Description

• Collaborate with providers and staff to deliver a seamless patient-centered care experience • Answer incoming calls, schedule appointments, respond to messages, and follow up with member needs • Manage virtual team scheduling, including schedule templates, daily audits, member check-in, reminders, and rescheduling • Prioritize and respond to provider message queues • Assign and file incoming faxes • Handle records requests from start to finish • Assist with prior authorizations • Collect copays and answer insurance coverage and cost-of-care questions • Process referrals to specialists, imaging providers, community resources, and employer benefits • Track referrals, maintain communication and documentation, and ensure timely resolution • Train relevant stakeholders on the external referral process • Coordinate communication among specialists, clinic physicians, and patients • Determine appropriate provider type and referral urgency using clinical judgment and critical thinking • Generate and submit complete referral packets with relevant clinical documentation • Ensure specialist receipt of referral packets and timely patient appointments • Work within insurance benefit parameters to support high-quality, cost-effective care • Troubleshoot downstream complications and prevent gaps in care • Support technology and service innovations for closed-loop referral communication • Perform other duties as assigned

🎯 Requirements

• At least 3 years of applicable experience; Primary Care setting experience preferred • High school diploma/GED required • Proficiency with Google spreadsheets and/or Excel • Database management and data tracking experience • Access to a quiet/private remote work environment • High-speed internet access • Willing and able to work Thursdays and Fridays, 8 a.m.–5 p.m. EST • Bachelor’s Degree or relative medical experience preferred • Experience processing referrals for a medical group preferred • Creative and flexible, with effective obstacle management • Excellent follow-through and strong task execution skills

🏖️ Benefits

• 401K eligibility • Remote work arrangement