Overview:

The Member Care Navigator I is a Temporary Contract 1099 position will provide telephonic assistance to Uprise Health’s clients and their members.

Work Schedule:

This position is required to work the second shift - 8:00 am -  5:00 pm, Monday - Friday, PST.

This position is a temporary contract role for 3 months. It is a 1099 contract position.

Hourly Salary: $22.00/Hour

Preference given to candidates on the West Coast to accommodate for the second shift hours in PST. 

Essential Duties and Responsibilities:

• Promptly answers, screens, and triages inbound telephone calls.
• Verify and/or collect caller demographic information
• Quote member benefits
• Research and provide routine referrals based on members’ specific needs and location
• Answer and triage questions related to authorizations, benefits, claims and incentives
• Document all activities fully and accurately in Uprise’ Proprietary system
• Make outbound enrollment calls which include explaining program components, incentives and scheduling appointments
• Provide assistance to members and/or providers regarding website registration and navigation
• Ability to work and remain focused in fast paced environment
• Uphold all HIPAA standards and requirements 
• Responding to all Critical Incident Response (CIR) requests.
• Responding to all Management Referral (MR) requests.
• Reaching out to Client HR or designee to gather information for CIR/MR.
• Coordinating with Uprise provider to deliver services.
• Informing Client HR/designee of confirmation, with specific details of CIR/MR.
• Entering detail in QuickCap.
• Other responsibilities as assigned

Essential Education and Experience:

Educational Requirements:

• High school diploma or general educational diploma (GED) required, Bachelor’s Degree in Behavioral Health field preferred.
• Microsoft Word, Outlook, Excel and Internet Competence

Experience and Skills:

• Experience working in a behavioral health environment.
• Excellent customer service and problem solving skills required.
• Ability to learn new computer systems rapidly and then accurately and completely document all activities and the content of all calls in the system required.
• Working knowledge of Microsoft applications including Word, Excel and Outlook required.
• Bilingual preferred.

Working Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee regularly works near office equipment (telephone, computer) and other employees. The employee works in normal office conditions where there is no physical discomfort due to temperature, dust, noise, etc. Verbal and written communication, telephone usage, filing, sitting, typing, driving, reading and carrying required to perform the essential functions of this job.