Health Navigator

Job Summary

A company is looking for a Health Navigator I to provide customer service to members regarding benefits and health program options.

Key Responsibilities

• Handle inquiries related to medical, dental, or pharmacy claims, providing solutions and confirming eligibility
• Conduct detailed research and follow-up on member issues using multiple resources and applications
• Advocate for members by resolving issues with covered care or medications and addressing complaints and grievances

Required Qualifications

• High school diploma or equivalent
• Ability to complete training as a Customer Service Representative
• Claim processing experience or related experience in a medical/dental office or pharmacy preferred
• Practical knowledge of medical, dental, and/or pharmacy terminology desired
• Proficiency in using Microsoft Office products and ability to work with multiple applications simultaneously