EnRoute Jobs
Back to jobs
SA

Healthcare & Medical

Care Navigator

SafetyWing

WorldwideRemoteMidPosted 1mo agoLink checked 1mo ago

Description

SafetyWing is hiring a Care Navigator to help members of its U.S. health insurance plan understand their benefits, resolve billing and coverage problems, and access high-value in-network care.

You will be the persistent, member-facing coordinator for complex plan questions: confusing bills, denied claims, prior authorizations, appeals, and provider coordination. This is an administrative navigation role, not a clinical-advice role. You will also identify patterns in claims and costs that can improve the member experience and the plan itself.

SafetyWing is building a global social safety net for remote workers through health, insurance, and retirement products designed to make geographic borders less limiting for people and distributed teams.

Responsibilities

What you’ll do

  • Serve as a warm, persistent point of contact for members with complex bills, denials, coverage questions, and other insurance issues.
  • Guide members through appeals processes and review complex cases as they arise.
  • Review explanations of benefits (EOBs), identify potential errors, and advocate for members.
  • Coordinate with members, healthcare providers, and payers to resolve billing and coverage issues end to end.
  • Explain prior-authorization requirements and help ensure medical, specialty, and pharmacy authorizations are complete and timely.
  • Translate plan design and benefits into clear, practical language so members understand their coverage.
  • Direct members to high-value, in-network care and providers; provide administrative navigation rather than clinical advice.
  • Flag patterns in claims and costs to help improve the plan and member experience.

Requirements

What you bring

  • Several years of experience in a medical-administrative, patient-facing coordination, or care-navigation role.
  • Hands-on experience with claims, medical billing, pre-authorizations, and reading EOBs.
  • Working familiarity with CPT and ICD coding, charges, and claim submission processes.
  • Experience coordinating across members, providers, and payers through to resolution.
  • Clear, empathetic, and reliable written and verbal communication.
  • Persistence, ownership, and sound judgment when managing sensitive, complex cases.

Nice to have

  • Experience in health-insurance payer operations or claims administration.
  • Board Certified Patient Advocate (BCPA) certification.
  • A clinical-adjacent background.

Required Skills

Care navigationHealth insurance claimsMedical billingPrior authorizationAppeals managementEOB reviewPatient advocacyCPT codingICD codingProvider coordination

Sponsored

Learn the language before you land

Babbel makes it easy to pick up the basics before you move abroad.

Try Babbel

Sponsored

Insurance built for life on the move

SafetyWing covers your health and travel wherever work takes you next.

Similar Jobs

4 more roles like this one.

See roles like this one

A free account opens every listing on EnRoute Jobs, saves the ones worth keeping, and scores each against your skills.

Create a free account

Already have one? Log in