Care Navigator

🌎 About this Role:

• Being the warm, persistent point of contact a member can hand a confusing bill, denial, or complex question to
• Helping members navigate the appeals process when they don't know where to start, and reviewing complex cases as they come up
• Reviewing EOBs to catch any errors and advocating for the member
• Coordinating between a member and their providers to resolve billing and coverage issues end to end
• Helping members and providers understand what requires prior authorization and making sure it's submitted correctly and on time, including specialty and pharmacy pre-authorization
• Translating plan design and benefits into plain language so members understand what is and isn't covered
• Pointing members toward high-value, in-network care and providers - this is administrative navigation, not clinical advice
• Flagging patterns you notice in claims and costs to help us keep improving the plan

🧪 You are a good fit if you:

• Have several years in a medical-administrative or patient-facing coordination role
• Have hands-on experience with claims, medical billing, and pre-authorizations, and can read an EOB and spot when something's off
• Have working familiarity with CPT and ICD coding and how charges are built and submitted
• Are comfortable coordinating across members, providers, and payers, with the persistence to chase something to resolution
• Communicate warmly and clearly with members
• Extra shine if you have prior experience on the payer or claims-administration side of health insurance, hold a BCPA certification, or come from a clinical-adjacent background
  
  

• Want to help build a global social safety net on the Internet.
• Think for themselves instead of copying others.
• Are willing to try new things, even with the risk of failure.
• Are intellectually curious and open to new ideas.
• Are creative and bold in the face of any problems.
• Have strong integrity and do the right thing.

🧘 Benefits beyond base pay:

• Fully remote work environment – work from anywhere globally
• Our own global safety net, giving you worldwide health, income, and travel coverage
• A minimum of four weeks of vacation per year
• A new laptop when you need one
• Potential to unlock equity compensation, yearly home office allowance and more!