Member Navigator (Healthcare)

Location: Fully remote, but must be US based. Monday through Friday during standard business hours: ET 9:30 AM–6:15 PM, CT 8:30 AM–5:15 PM, MT 7:30 AM–4:15 PM, or PT 6:30 AM–3:15 PM.

Company

hirify.global uses technology, clinical expertise, and healthcare data to improve cost, quality, access, utilization, and the member experience.

What you will do

• Serve as a primary non-clinical contact for members through phone, email, and other communication channels.
• Explain healthcare programs, benefits, eligibility requirements, provider options, services, and next steps.
• Gather, verify, and document demographic, eligibility, benefit, referral, and service information.
• Research and resolve routine member, provider, and client questions, escalating complex or clinical matters appropriately.
• Coordinate imaging and other healthcare services, including provider selection, appointment scheduling, confirmations, and updates.
• Manage cases through resolution by monitoring progress, identifying barriers, coordinating follow-up, maintaining documentation, and collaborating with clinical and internal teams.

Requirements

• 2+ years of experience in a remote call center environment.
• High-school diploma or GED.
• Experience in healthcare scheduling, patient or member access, healthcare operations, customer service, insurance, medical office operations, or a related support environment.
• Strong attention to detail and excellent verbal and written communication skills.
• Ability to work independently, meet deadlines, and communicate complex information effectively.
• Experience with Microsoft Office Suite, including Excel and PowerPoint.

Nice to have

• Associate’s degree.
• Healthcare experience combined with medical, claims, or collection call center experience.
• Medical Terminology Certification.
• Experience interpreting and explaining Explanation of Benefits documents.
• BCPA Certification.

Culture & Benefits

• Fully remote work with company-provided equipment, a quiet workspace, reliable internet, and adherence to security protocols including VPN use.
• Medical, dental, and vision insurance with company subsidy.
• HSA, FSA, and DCFSA spending accounts.
• 401(k) with company match and immediate vesting.
• Paid vacation, sick leave, holidays, maternity and paternity leave, and an Employee Assistance Program.
• Flexible working environment, pet insurance, employee discounts, and paid time off for philanthropic activities.