Health Navigator

Job Summary

Providing phone, email, and chat-based customer service, the full-time Health Navigator I will assist members of specific groups by analyzing inquiries related to benefits and health program options while working from home.

Key responsibilities:

• Answer medical, dental, and pharmacy inquiries from customers, providing solutions and confirming eligibility
• Conduct detailed research and follow-up to resolve member issues, collaborating with internal departments as needed
• Utilize multiple resources to assist members in understanding and accessing health programs and benefits

Required qualifications:

• High school diploma or equivalent
• Experience in claim processing or customer service, preferably in a medical, dental, or pharmacy setting
• Practical knowledge of medical, dental, and pharmacy terminology
• Ability to complete training as a Customer Service Representative with the organization
• Proficiency in Microsoft Office products, including Outlook and Teams