Health Navigator

BlueCross BlueShield of Tennessee•Chattanooga, TN

23h•Remote

About The Position

BlueCross BlueShield of Tennessee is seeking a Health Navigator to join our SeniorCare team! In this role, you will support our members by helping them understand discharge plans, schedule follow-up appointments, manage medication changes, and address any needs they may have while at home. We are a remote-first organization with a well-established team. Ideal candidates will have experience in customer service, a medical office setting, or working with the senior population. Additionally, you will excel in this role if you can work independently, demonstrate patience, and possess a strong knowledge of medical terminology. Notes: Sponsorship is not available for this position. At BCBST, we foster a culture where innovation is encouraged, including the responsible use of AI-enabled tools to support everyday work. As roles become more advanced, employees are expected to leverage AI, guided by established workflows, templates, and policies, to improve how we serve our members.

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
Proficient in the Microsoft Office suite, including Microsoft Teams

Nice To Haves

Experience working with the senior population

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