Transitional Care Navigator

This is a fully remote position, open to applicants in United States.

📋 Description

• Manage initial customer interactions in person, online, or via telephone.

• Ensure that customer orders are received, qualified, and processed in accordance with established procedures.

• Work alongside the sales team to capitalize on opportunities and deliver outstanding customer service.

• Oversee the processing of sales orders from the moment they are received until delivery.

• Act as a key communicator throughout the order fulfillment process.

• Foster positive relationships with both internal and external customers.

• Uphold confidentiality and adhere to documentation standards.

• Evaluate the needs of customers and referral sources.

• Accurately input referrals along with the necessary billing documentation.

• Assess eligibility based on payer guidelines.

• Verify insurance benefits and analyze equipment, pricing, private-pay, and reimbursement options.

• Assist in selecting suitable equipment, supplies, and services.

• Ensure accuracy in processing delivery tickets.

• Address and resolve customer and referral concerns and complaints.

• Communicate insurance qualification guidelines to referral sources and sales teams.

• Coordinate continuity of care throughout the organization.

• Contribute to team planning and prioritization efforts.

• Serve as a knowledgeable resource on product and service qualifications in relation to payer guidelines.

• Inspire team motivation and lead by example.

• Aid in training less experienced team members.

• Liaise with various locations and departments to guarantee customer satisfaction.

• Manage referrals during designated weekday hours.

• Engage in scheduled weekday after-hours and weekend coverage rotations.

⛳️ Requirements

• Associate's degree or equivalent experience is required.

• Outstanding phone and customer relationship skills.

• Preferred experience in healthcare and knowledge of medical terminology.

• Previous experience with a medical billing system is preferred.

• Ability to build relationships in sales and team settings.

• Capability to multitask effectively.

🏝️ Benefits

• Comprehensive health benefits package.

• Opportunities for professional development and training.

• Supportive team environment.