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US

  • Serve as the primary non-clinical contact for members, providing timely and empathetic assistance via phone, email, and other channels.
  • Explain healthcare benefits and programs, coordinate appointments, and manage cases from intake through resolution.
  • Collaborate with clinical teams and providers to remove barriers to care and ensure a seamless healthcare journey.

Customer Service Communication Microsoft Office Problem Solving

20 jobs similar to Member Navigator

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Global Unlimited PTO 16w maternity 16w paternity

  • Serve as first point of contact for members and providers via phone and email, resolving health insurance inquiries.
  • Use active listening and empathy to understand issues, explain benefits, claims, and coverage, and document interactions.
  • Maintain a structured schedule, with availability during peak season, and uphold the Gravie CARE service model and core values.

Gravie creates innovative health benefits for small and midsize businesses, focusing on solutions that genuinely benefit employees. The company is well-funded, non-hierarchical, and merit-driven, with a culture that values authenticity, curiosity, and creativity.

US

  • Conduct outbound calls to members to schedule Annual Wellness Visits, preventive screenings, and primary care consultations.
  • Educate members about available healthcare benefits and the importance of completing recommended visits.
  • Coordinate with provider offices and internal teams to secure appointment availability and maintain accurate documentation.

This company provides population health and care coordination programs, helping members access preventive and primary care services. The team operates as a remote, performance-driven call-center environment focused on member outreach and appointment scheduling.

$50,000–$50,000/yr
US

  • Act as the primary point of contact for patients and providers, handling questions, scheduling, and documentation with empathy and professionalism.
  • Resolve patient and provider issues, escalate complex concerns, and coordinate care activities to ensure seamless support.
  • Track data and trends from support interactions to improve processes and serve as the voice of the patient.

Seven Starling is a leading virtual provider of women's behavioral health services supporting every stage of motherhood. They partner with OBGYN clinics and health plans across the country, and their culture values compassionate care and operational excellence.

US

  • Serve as the first point of contact for patients, scheduling appointments and coordinating referrals.
  • Verify insurance and demographic information, ensuring accuracy and compliance.
  • Document interactions in electronic medical records and escalate complex issues appropriately.

This role is posted on behalf of a partner company, and managed through Jobgether's AI-powered matching process. The company is a healthcare support provider that values compassion and efficiency in patient access services.

US

  • Work remotely from home with a set schedule, 8:30am to 5pm Monday through Friday.
  • Assist older adults with healthcare needs such as insurance questions, ride coordination, and medication refills.
  • No experience required; just need a computer, reliable internet, and a friendly phone manner.

This company helps older adults navigate healthcare challenges like insurance confusion, transportation, and medication access. They provide an organized workflow where employees assist one person at a time, fostering a low-stress, supportive culture.

US

  • Provide world-class customer service to members and providers by phone in a call center environment.
  • Resolve claims, benefits, eligibility, and provider network inquiries with one-call resolution.
  • Document calls, follow up on issues, and support team accountability for service performance.

University of Utah Health is an integrated academic healthcare system with five hospitals, eleven community health centers, and a health plan serving over 200,000 members. It is nationally ranked for research and quality, with over 2 million patient visits annually and a culture of collaboration, excellence, and respect.

$24–$24/hr
US Unlimited PTO

  • Provide empathetic, accurate, and efficient support to patients via email and phone.
  • Manage high volume of interactions while meeting quality and productivity metrics.
  • Escalate clinical, operational, or technical issues appropriately and maintain accurate documentation.

Ro is a direct-to-patient healthcare company offering telehealth, labs, and pharmacy services nationwide. Since 2017, it has helped millions of patients and is consistently recognized as a top workplace in healthcare, earning numerous honors from Fortune and Great Place to Work.

US

  • Provide professional and timely service to internal and external customers regarding benefit administration.
  • Resolve benefit service issues with internal staff and outside vendors.
  • Perform monthly reconciliation of Carrier invoices to report to customers.

OneSource Virtual (OSV) works exclusively with Workday customers to automate payroll, taxes, earned wage access, accounts payable, and benefits. With over 1,500 customers and 92% retention, OSV offers a values-based culture and professional development.

  • Serves as the primary point of contact for members and providers, managing inbound and outbound calls and emails with professionalism.
  • Researches and resolves inquiries on benefits, eligibility, claims, and billing to ensure first-contact resolution and meet department metrics.
  • Supports escalation intake, collaborates with internal teams, and assists members with portal navigation to promote digital self-sufficiency.

Evry Health is on a mission to bring humanity to health insurance with high-technology health plans. It is the major medical division of Globe Life, which has 16.8 million policies in force, over 3,000 corporate employees, and an A (Excellent) rating from A.M. Best for 45+ years.

US

  • Serve as the primary point of contact for members seeking legal help across phone, chat, and digital channels.
  • Conduct detailed intake interviews, verify information, and accurately document cases in CRM systems.
  • Coordinate attorney consultations and keep members updated as cases move toward resolution.

This partner company provides legal assistance services to members, coordinating intake, referrals, and case management. They foster a structured, fast-paced culture focused on professionalism, confidentiality, and service excellence.

US

  • Build and maintain long-term relationships with clients and their families through professional communication.
  • Conduct virtual appointments via Zoom, review benefits, and provide ongoing customer service.
  • Participate in virtual training, mentorship, and leadership development to grow professionally.

This role is listed by Jobgether on behalf of a partner company that provides insurance benefits and customer support services. The organization is established with a long operating history and has reported recent growth, offering a supportive and collaborative virtual team environment.

US

  • Work from a home office and deliver web presentations.
  • Support families with benefits conversations that matter.
  • Receive ongoing training and mentorship from engaged leaders.

Global Elite Empire Consultants provides client-facing, fully remote financial services. The company offers mentorship, training, and a supportive team culture focused on helping families.

US

  • Counsel patients on healthcare payment responsibilities, insurance benefits, and financial assistance options.
  • Contact insurers, resolve registration, billing, authorization, and claims issues to advocate for patients.
  • Maintain accurate documentation and provide compassionate, clear communication on sensitive financial matters.

A healthcare organization helping patients navigate medical costs, insurance benefits, and financial assistance. It operates as a large, patient-centered environment focused on caregiver well-being and professional development.

$15–$16/hr
US

  • Serve as primary point of contact for clients, managing inbound and outbound communications with professionalism.
  • Resolve complex consumer issues and advise first-level representatives on high-level issues.
  • Utilize web-based tools to efficiently resolve inquiries and ensure seamless customer experience.

TP is a leading global provider of digital business services, partnering with prominent brands to optimize operations through technology and sustainable practices. With a global workforce of 500,000 across 300 languages, TP is a force for good in communities and for clients.

$55,000–$65,000/yr
US

  • Serve as first point of contact delivering exemplary service to members and providers via messaging, phone, and live chat.
  • Apply deep product and benefits knowledge to resolve escalations and support QA, bug triage, and emerging workflows.
  • Mentor junior associates and contribute to service recovery and Voice of the Customer feedback loops.

Maven Clinic is the world's largest virtual clinic for women and families, partnering with employers and health plans on family health programs. The company has raised $425M+ and is an award-winning workplace with a mission-driven culture.

US

  • Provide financial counseling to patients on payment options, Medicaid eligibility, assistance programs, and self-pay responsibilities.
  • Analyze patient accounts and develop action plans to resolve outstanding financial obligations with empathy and professionalism.
  • Support patient inquiries through a financial services call center and collaborate effectively with a remote team.

This company provides patient financial counseling and support services for healthcare organizations. It fosters a patient-centered culture with a focus on empathy, collaboration, and professional development, offering a fully remote work environment.

US

  • Serve as primary point of contact for clients, managing inbound/outbound communications with professional excellence.
  • Resolve inquiries via phone, email, chat, or social media, de-escalating issues and escalating when necessary.
  • Track call information for auditing and reporting, and upsell if required.

TP is a leading global provider of digital business services, partnering with prominent brands to optimize operations through advanced technology and sustainable practices. With a global workforce of 500,000 across 300 languages, TP fosters a culture of inclusion, diversity, and career growth.

$20–$20/hr
US

  • Handle inbound and outbound calls to book and confirm appointments for members.
  • Follow up on missed visits and update scheduling systems quickly and accurately.
  • Escalate urgent member needs as they arise while working fully remotely.

Urrly is a company that helps members access care by managing appointment scheduling and follow-ups. They emphasize fairness and use AI to review applications, with a culture focused on clear tasks, stable work, and follow-through.

US

  • Handle inbound and outbound calls to assist customers and insurance agents with documentation and loan requirements.
  • Educate callers on required insurance documentation, resolve inquiries, and complete loan transactions accurately.
  • Maintain customer confidentiality and deliver high-quality support in a fast-paced remote environment.

HUB International is one of North America's largest insurance brokers, offering risk management, insurance, and benefits solutions. With over 500 offices across North America, it fosters an entrepreneurial, collaborative culture focused on employee growth.

US

  • Engage with prospective members through multiple channels to explain program benefits and encourage enrollment.
  • Build trust and rapport using active listening, empathy, and personalized communication to overcome barriers.
  • Collaborate with internal teams to improve outreach strategies and accurately document member interactions.

The company offers a specialized kidney health management program that helps members access valuable health support. It provides a collaborative, performance-driven remote environment focused on member engagement and population health.