Care Navigator

SafetyWing
Anywhere
Workplace: RemoteFull timeFunction: Customer Support (Service Desk)Skills: ["Communication","Integrity","Problem-solving","Persistence","Curiosity"]

Support members on a US health insurance plan by helping them understand benefits, resolve billing and coverage issues, and navigate the appeals process. Review EOBs for errors, coordinate end-to-end with members, providers, and payers, and ensure prior authorizations are submitted correctly. Translate plan design into plain language and guide members to high-value in-network care (administrative, not clinical). Use patterns from claims and cost data to improve the product.

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FursaFursa
SafetyWing
SafetyWing
7 hours ago

Care Navigator

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI
Last checked: 7 hours agoStatus: Live

Job Summary

Support members on a US health insurance plan by helping them understand benefits, resolve billing and coverage issues, and navigate the appeals process. Review EOBs for errors, coordinate end-to-end with members, providers, and payers, and ensure prior authorizations are submitted correctly. Translate plan design into plain language and guide members to high-value in-network care (administrative, not clinical). Use patterns from claims and cost data to improve the product.
Location: Anywhere
Workplace: Remote
Employment Type: Full time
Job Function: Customer Support (Service Desk)
Seniority: Mid level

Key Responsibilities

  • •Serve as the warm, persistent point of contact for complex bills, denials, and questions
  • •Help members navigate appeals and review complex cases as they arise
  • •Review EOBs to catch errors and advocate for the member
  • •Coordinate end-to-end resolution between members, providers, and billing/coverage parties
  • •Assist with prior authorization submission and translate plan benefits into plain language while directing members to high-value in-network care

Pay and Benefits

Perks:Paid LeaveEquityHome Office

Key Requirements

  • •Several years in a medical-administrative or patient-facing coordination role
  • •Hands-on experience with claims, medical billing, and pre-authorizations, including the ability to read an EOB and spot errors
  • •Working familiarity with CPT and ICD coding and how charges are built and submitted
  • •Comfort coordinating across members, providers, and payers and persisting to resolution
  • •Warm, clear communication with members (BCPA certification and payer/claims-administration experience are a plus)
Experience:HealthcareInsuranceHealth insurance
Skills:CommunicationIntegrityProblem-solvingPersistenceCuriosity
Certifications:BCPA
Tech Stack:CPTICDEOBMedical billingPre-authorizationPrior authorizationClaims

Company Brief

SafetyWing
Provides global health and travel medical insurance tailored for remote workers, digital nomads, and distributed companies, offering products like Nomad Insurance and Remote Health to cover employees and freelancers worldwide.
Industry: InsurTech
Company Size: Medium (51 to 250 employees)
Growth: Growth Stage Startup
Funding: Series B
Headquarters: San Francisco, United States
Founded: 2018
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Glassdoor: 4.5
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