Virtual Care Navigator

🔥 20 hours ago

🇺🇸 United States – Remote

💵 $25 - $34 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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 members to deliver an exceptional seamless patient-centered care experience • Engage with members by answering incoming calls, scheduling appointments, responding to messages, and following up with member needs • Manage virtual-team scheduling, including creating and publishing schedule templates, auditing schedules daily, checking in members, sending reminders, and rescheduling appointments • Collaborate with virtual providers to prioritize and respond to 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 • Manage, update, and curate a community medical-specialist network • Process and track external referrals, including scheduling, communications, documentation, referral packets, and specialist appointments • Maintain communication among specialists, clinic physicians, patients, and the clinical team • Use clinical judgment to select provider types and stratify referral urgency • Ensure referral packets contain appropriate clinical documents and reach specialist offices on time • Work within patient insurance benefits to support high-quality, cost-effective care • Troubleshoot downstream complications and prevent gaps in care • Assist with training stakeholders on the external referral process • Support technology and service innovations for closed-loop referral coordination • Assist with assigned projects and provider or patient requests • Perform other duties as assigned

🎯 Requirements

• At least 3 years of applicable experience (experience in a Primary Care setting preferred) • High school diploma/GED required • Proficient working with Google spreadsheets and/or excel, database management and data tracking • Access to a quiet / private remote work environment • High speed internet access • Experience processing referrals for a medical group • Creative and flexible and effectively manages obstacles • Excellent follow-through and have strong task execution skills • High level of ownership, accountability and initiative • Experience with multitasking, issue resolution, and conflict management • Excellent interpersonal skills and the ability to work effectively in a highly collaborative care team environment • Able to handle ambiguity when problem solving • Thrive in a fast-paced and rapidly changing environment • Ability to work in multiple technology platforms simultaneously, using clinical judgment and critical thinking in accessing and documenting information that pertains to each patient’s referral process • Organization and accountability within a fluid and constantly changing environment • Strong communication, customer service and people skills; the ability to connect with all stakeholders (patients, doctors, nursing staff, clinic staff, technicians) • Excellent problem solving and problem preempting skills • Willingness and drive to go the distance to help • Work with a team to create new and improved workflows that build upon our new centralized referral management product

🏖️ Benefits

• Annual bonus opportunity • Medical Insurance • Dental Insurance • Vision Insurance • Short- and Long-Term Disability • Life Insurance • Paid Time Off • 401K