Care Navigator

Jobgether; India; Remote; INR 900,000 - 1,300,000; Full time

Benefits offered by this job

Fully remote

Global health coverage

4 weeks paid vacation

Company laptop

Equity potential

Home office allowance

Permanent, full-time

Global mission impact

Job summary

Jobgether is seeking a Care Navigator based in India to help members navigate US health insurance, resolve billing questions, denied claims, and coverage issues. You will guide members toward in-network care, explain benefits clearly, and coordinate with providers and payers to resolve cases from start to finish.

The role emphasizes empathy, problem-solving, and clear communication, with a fully remote, international scope and opportunities to impact the global health safety net.

Qualifications

• Experience in medical administration, patient coordination, or healthcare operations.
• Experience with medical claims, billing, and prior authorizations.
• Ability to interpret EOBs and identify billing or coverage errors.
• Familiarity with CPT and ICD coding and billing submissions.
• Experience coordinating among patients, providers, and insurers.
• Strong follow-through and problem-solving to resolve cases.
• Excellent communication to explain insurance clearly and compassionately.
• Interest in improving access to healthcare globally.

Responsibilities

• Help members understand health insurance coverage and navigate billing issues.
• Guide members through appeals and review complex cases as needed.
• Review EOBs and advocate for members on discrepancies.
• Coordinate with members and providers to resolve issues end-to-end.
• Explain prior authorization requirements for care including pharmacy.
• Translate plan rules and benefits into clear explanations.
• Help identify high-value in-network providers and care options.
• Identify recurring billing patterns to improve insurance products.

Skills

Medical administration

Patient coordination

Health insurance operations

Claims processing

Prior authorizations

EOB interpretation

CPT/ICD coding

Communication

Problem solving

Remote collaboration

Empathy

Education

BCPA certification

Tools

EHR systems

Job description

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Care Navigator based in India.

As a Care Navigator, you will help members navigate the complexities of US health insurance and access the care and coverage they need with greater confidence. You will serve as a trusted point of contact for billing questions, denied claims, coverage concerns, and appeals. Working closely with members, healthcare providers, insurers, and internal teams, you will coordinate administrative processes and help resolve issues from start to finish. You will also guide members toward high-value, in-network care and clarify their benefits in simple, accessible language. By identifying recurring issues in claims and healthcare costs, you will contribute to improving insurance products and the overall member experience. This fully remote role is ideal for a detail-oriented, empathetic professional who enjoys solving complex problems and making healthcare easier to navigate.

Accountabilities:

In this role, you will help members understand their health insurance coverage, resolve administrative challenges, and access appropriate in-network care. You will combine strong coordination skills with persistence, clear communication, and attention to detail.

• Serve as a warm, reliable point of contact for members facing confusing medical bills, denied claims, coverage questions, or other complex insurance issues.

• Guide members through the appeals process, helping them understand their options and reviewing complex cases when needed.

• Review Explanation of Benefits (EOB) statements to identify potential errors and advocate for members when discrepancies arise.

• Coordinate with members and healthcare providers to resolve billing and coverage issues from initial inquiry through final resolution.

• Explain prior authorization requirements to members and providers, ensuring submissions are accurate and completed on time, including specialty care and pharmacy pre-authorizations.

• Translate insurance plan structures, coverage rules, and benefits into clear, practical explanations.

• Help members identify high-value, in-network providers and care options, focusing on administrative navigation rather than clinical advice.

• Identify recurring patterns in claims, billing issues, and healthcare costs, sharing insights that can support improvements to the insurance plan and member experience.

Requirements:

The ideal candidate brings hands-on experience in medical administration, patient coordination, or health insurance operations, along with the ability to navigate complex billing and claims processes. You should be empathetic, resourceful, and comfortable following up with multiple stakeholders until an issue is resolved.

• Several years of experience in a medical-administrative, patient-facing, or healthcare coordination role.

• Practical experience with medical claims, billing, and prior authorizations.

• Ability to interpret EOB statements, identify potential billing or coverage errors, and determine when further investigation is needed.

• Working knowledge of CPT and ICD coding, including how medical charges are structured and submitted.

• Experience coordinating between patients or members, healthcare providers, and insurance payers.

• Strong follow-through and problem-solving skills, with the persistence to manage cases through to resolution.

• Excellent communication skills and the ability to explain complex insurance information clearly and compassionately.

• Intellectual curiosity, creativity, independent thinking, adaptability, and a willingness to test new approaches.

• Strong integrity and a commitment to doing the right thing for members.

• A genuine interest in building a more accessible, global social safety net.

Additional advantages include experience on the health insurance payer or claims-administration side, a BCPA certification, or a clinical-adjacent professional background.

Benefits:

• Fully remote working environment, with the flexibility to work from anywhere globally.

• Access to worldwide health, income, and travel coverage through the company's own global safety net.

• A minimum of four weeks of paid vacation per year.

• A new laptop when needed to support your work.

• Potential eligibility for equity compensation.

• Annual home office allowance.

• Permanent, full-time employment.

• The opportunity to contribute to a global mission focused on improving access to healthcare and financial protection for remote workers.

How Jobgether works:

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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