Healthcare & Medical
Care Navigator
SafetyWing
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
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