Sr. Care Coordinator

About the role

Your north star: Support the Pomelo clinical practice by owning key insurance, benefits, and administrative processes.

This role reports to the Senior Manager of Midlife Operations and can be based anywhere in the continental US.

Responsibilities

• Verify insurance coverage / eligibility for our doula & midlife lines of business
• Initiate, track, and obtain provider referrals & prior authorizations
• Support cost estimation workflows, including use of payer portals & member support lines to verify level of coverage
• Interact directly with patients, providers, and patients via phone, chat, portal, and SMS
• Maintain and manage spreadsheets to support key operational workflows
• Collaborate with Midlife & Doula Operations to develop new workflows focused on improving care coordinator efficiency
• Other responsibilities as assigned

Requirements

• 3+ years healthcare administration experience, ideally having worked within virtual care
• Familiar with insurance verification, in-network referrals, and Rx / Lab orders
• Ability to navigate benefits & insurance questions for Medicaid & Commercial members
• Comfortable interacting directly with patients, providers, and patients via phone, chat, portal, and SMS
• Results-oriented operator who moves fast
• Meticulous attention to detail
• Goes the extra mile for patients
• Comfort with ambiguity
• Able to work cross-functionally with clinicians
• Passionate about women’s health

Qualifications

• High school diploma or equivalent
• Bachelor's degree in healthcare administration, public health, or related field preferred

Skills

• Strong organizational and time management skills
• Excellent communication and interpersonal skills
• Proficient in Microsoft Office Suite
• Experience with electronic health records (EHRs)

Benefits

Comprehensive Health, Dental, and Vision coverage for employees and their families
High deductible Health Plans with Health Savings Account (HSA) options
Flexible Spending Account (FSA)
Equity grant participation
401(k) program
Competitive vacation policy
16 weeks paid parental leave
Fully remote work flexibility (within the US)

Pay

The expected base salary range offered for this role is $55,000-$65,000. This role is also eligible for equity, giving you an ownership stake in Pomelo’s mission. Actual compensation may vary based on relevant experience, skills, competencies, and certifications.

Schedule

Schedule: Day Shift - Monday - Friday, 9:00am - 6:00pm ET

Company Information

We strive to create an environment where employees from all backgrounds are respected. We value working across disciplines, moving fast, data-driven decision making, learning, and always putting the patient first.

Equal Opportunity Employer

We are committed to hiring the best team to improve outcomes for all mothers and babies, regardless of their background. We need diverse perspectives to reflect the diversity of problems we face and the population we serve. We look to hire people from a variety of backgrounds, including but not limited to race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status.

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Application Instructions

If you are interested in applying for this position, please visit our careers page and follow the instructions there.