Care Navigator

Firefly Health•Watertown, MA

9h•$28 - $32•Remote

About The Position

Firefly Health is building a revolutionary new type of comprehensive health "care and coverage,” powered by a relationship-driven care team, a trusted virtual and in-person clinical network, and our proprietary technology platform. Founded by experienced clinicians and technology leaders, Firefly Health is on a mission to deliver clinical and financial health through joyful, always there care. We are flipping the script on what it means to be a health plan and actually providing a true health benefit to members. We are intensely focused on optimizing the physical + mental + financial wellbeing of those who want (and deserve) something better than the status quo. If you are ready to roll up your sleeves and take on our audacious mission, we would love to hear from you. Your Role: As a Care Navigator at Firefly, you are an essential pillar in our commitment to patient-centered care. You play a crucial role in shaping the healthcare experience for our patients, serving as a guide and advocate. Whether assisting with the intricacies of referrals, simplifying the maze of insurance authorizations, or resolving any other healthcare challenges our patients may face, your involvement ensures that their journey is as seamless and stress-free as possible.

Requirements

Excel in communication, making complex healthcare information easily understandable for our patients
Are highly organized, with a keen eye for detail and a knack for balancing multiple responsibilities
Possess a strong understanding of healthcare systems and insurance procedures
Are passionate about making a tangible difference in patients' lives through superior care and service
Experience with claims investigation and processing

Nice To Haves

Available to work 11am-7pm EST.

Responsibilities

Facilitate end-to-end referrals by connecting all Firefly patients to the right healthcare providers and services within and outside of Firefly
Act as a specialized point of contact for patients when they require referrals or navigation services, ensuring they feel heard, understood, and well-guided through these aspects of their healthcare journey
Work closely with our internal healthcare providers to ensure a coordinated approach to patient care
Oversee insurance authorizations, prior authorizations and note retrievals to make healthcare access seamless for our patients
Develop and maintain solid partnerships with external healthcare networks and providers