Health Navigator

BlueCross BlueShield of Tennessee • Chattanooga, TN

17d • Remote

About The Position

Join Our BlueCare Plus Clinical Support Team as a Health Navigator BlueCross BlueShield of Tennessee (BCBST) is seeking a dedicated Health Navigator to join the Health Promotion team within our high-performing BlueCare Plus Clinical Support division. In this role, you’ll be a key point of contact for our members—providing compassionate, knowledgeable support and helping them navigate their healthcare needs. As a Health Navigator, you will: Respond to member inquiries via a dedicated phone line Assist with a variety of member needs in a timely and empathetic manner Complete Health Risk Assessments and manage incoming faxes as part of the role’s administrative responsibilities We are a remote-first organization with a fully developed and supportive team environment. Who We’re Looking For: Our ideal candidate has at least one year of experience in: Medical office settings Working with the senior population You’ll thrive in this role if you are: Patient and empathetic Able to work independently Knowledgeable in medical terminology Schedule: The role has a weekly rotating schedule of 8:45-5:15pm, 9:30-6:00pm

Requirements

• Associates Degree in, education, communication, or health related field or equivalent work experience
• 2 years - Experience in a customer service support role is required
• Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
• Proficient interpersonal and organizational skills
• Independent, Sound decision-making and problem-solving skills
• Must be able to work in an independent and creative manner.
• Self-motivated and able to manage multiple tasks and set priorities.
• Effective time management skills
• Excellent oral and written communication skills
• Strong interpersonal and organizational skills
• Knowledge in Medical terminology

Responsibilities

• Conducting educational telephone calls advising members of available benefits, services and programs; completes health needs assessment, and refers members to population health management programs as appropriate.
• Reaching out to members with identified gaps in care; encouraging and motivating them to become compliant; offering assistance in locating providers and appointment scheduling.
• Managing system work queues; screening identified members for eligibility, prior case activities, recent claims, customer service inquiries and authorization history; assigning members to clinical team for call outreach and intervention.
• Facilitating research and analysis of inquiries and/or complaints related to processes and designations, member lost incentives, and other program related inquiries.
• Work overtime as needed
• Various immunizations and/or associated medical tests may be required for this position.
• This job requires digital literacy assessment.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree