Regional Concierge Navigator

A company is looking for a Regional Concierge Navigator to provide outreach and support to members in navigating their healthcare and benefits.

Key Responsibilities

Provide specialized member support and conduct member engagement activities

Assist members with scheduling appointments, resolving issues, and ensuring access to care

Act as a liaison between members and healthcare providers while adhering to quality measures

Required Qualifications

Minimum 1 year of customer service experience, preferably in health plan or Medicare Member Services

High School Diploma or GED required

Knowledge of ICD-10 and CPT codes

Ability to navigate Medicare Advantage or HMO processes, including referrals and authorizations

Bilingual skills in English / Spanish, English / Vietnamese, or English / Mandarin preferred