Care Access Navigator - VITRA Health

About the Role: 

The Care Access Navigator is a brand ambassador responsible for preparing and obtaining documentation needed for insurance prior authorization, continuity of care, and maintaining our consumers on their program. This administrative role supports Vitra Health's commitment to excellent healthcare delivery and growth. The members of this team are cross trained in various administrative tasks, and the workflow reflects the daily needs of our consumers.

About Us:

VITRA Health is vital in providing comprehensive assistance to caregivers who care for friends and family in their own homes. We understand that most caregivers face financial and emotional challenges, often without compensation or support for their selfless efforts. By joining us, you can be part of the solution to these challenges. If you have a positive attitude and love helping people, VITRA Health is for you. Our highest priority is our team's health, happiness, and success.

Perks and Benefits:

• Health Insurance
• Dental and Vision Benefits
• Supplemental Benefits including; Life, Accident, Critical Illness and Disability Insurance;
• 401K with a company match
• Generous Paid-Time-Off
• Competitive pay rate
• Unique one-on-one care environment
• An extensive continuous training program
• Supportive team structure and company culture with a focus on work/life balance
• Paid training opportunities
• Upward career movement and growth

Responsibilities/Essential Functions

• Obtain a working knowledge of Vitra Health program offerings and operational workflows
• Request and maintain medical documentation from healthcare providers, including progress notes, imaging studies, and other necessary medical reports;
• Compile and review documentation from internal and external sources and complete necessary follow-up to ensure consumers continued program enrollment
• Verify insurance and submit requests for services to a variety of insurance providers according to individual processes
• Communicate effectively with multidisciplinary care teams, healthcare providers, and insurance companies regarding medical documentation and prior authorization requirements
• Keep accurate records and update patient files with all necessary patient, provider, and insurance information
• Provide excellent customer service by expediting and prioritizing requests based on a variety of factors
• Triage incoming faxes and direct to the appropriate team member or patient chart
• Maintain detailed documentation related to consumers, providers, and relevant workflows
• Support the department with administrative tasks including answering phones, directing calls, email correspondence, photocopying, sending faxes, scanning, filing, etc.
• Escalate client concerns and/or progress concerns to management as necessary
• Maintain the highest standard of confidentiality for all protected health information
• Serves as a brand ambassador for Vitra reflecting our vision, mission, and values

• Shows a genuine interest and compassion for the communities we serve and commitment to the diversity of our clients and team members
• Mentor and supports team members
• Complete other tasks as assigned

Education, Experience and Licensure Requirements

• 2+ years prior experience with high-volume record processing is required, preferably in the healthcare industry
• 2+ years' experience and complete comfort using Microsoft Suite
• Excellent problem-solving, customer service, and communication skills required
• Prior experience with Hubspot, Salesforce, Optum, Wellsky, RingCentral or similar platforms preferred

Physical and Environmental Demands

• Works in a clean well-lit environment with fluctuating temperatures close to others. 

• Requires substantial periods of repetitive work utilizing a computer, monitor, keyboard, and mouse.  

• Requires lifting and carrying equipment and supplies weighing up to 35 pounds; requires pushing and pulling equipment and supplies weighing up to 35 pounds; requires walking and standing; requires frequent sitting more than 75% of the workday; requires the ability to negotiate stairs; requires visual acuity and manual dexterity to operate equipment.