[Hiring] Member Care Navigator I @Uprise Health

Role Description

The Member Care Navigator I is a Temporary Contract 1099 position that will provide telephonic assistance to Uprise Health’s clients and their members.

Work Schedule:

• Second shift - 8:00 am - 5:00 pm, Monday - Friday, PST.
• Temporary contract role for 3 months.
• 1099 contract position.
• Hourly Salary: $22.00/Hour.
• Preference given to candidates on the West Coast to accommodate for the second shift hours in PST.

Essential Duties and Responsibilities:

• Promptly answers, screens, and triages inbound telephone calls.
• Verify and/or collect caller demographic information.
• Quote member benefits.
• Research and provide routine referrals based on members’ specific needs and location.
• Answer and triage questions related to authorizations, benefits, claims, and incentives.
• Document all activities fully and accurately in Uprise’ Proprietary system.
• Make outbound enrollment calls which include explaining program components, incentives, and scheduling appointments.
• Provide assistance to members and/or providers regarding website registration and navigation.
• Ability to work and remain focused in a fast-paced environment.
• Uphold all HIPAA standards and requirements.
• Responding to all Critical Incident Response (CIR) requests.
• Responding to all Management Referral (MR) requests.
• Reaching out to Client HR or designee to gather information for CIR/MR.
• Coordinating with Uprise provider to deliver services.
• Informing Client HR/designee of confirmation, with specific details of CIR/MR.
• Entering detail in QuickCap.
• Other responsibilities as assigned.

Qualifications

• High school diploma or general educational diploma (GED) required.
• Bachelor’s Degree in Behavioral Health field preferred.
• Microsoft Word, Outlook, Excel, and Internet competence.

Requirements

• Experience working in a behavioral health environment.
• Excellent customer service and problem-solving skills required.
• Ability to learn new computer systems rapidly and accurately document all activities and content of calls in the system required.
• Working knowledge of Microsoft applications including Word, Excel, and Outlook required.
• Bilingual preferred.

Benefits

• The compensation range is based on the candidate's experience and/or level of education or certifications.
• Uprise Budgeted Pay Range: $22 — $22 USD.

Company Description

Uprise Health is an equal opportunity employer. In accordance with anti-discrimination law, Uprise Health prohibits discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. Uprise Health conforms to the spirit as well as to the letter of all applicable laws and regulations.