As a care coordinator, you are central to ensuring success of the Cash Pay element of the health plan. Our goal is to make this process as seamless as possible and give you the tools to succeed. We heavily rely on Cases so, please take a look at this Guide. If you have any questions, do not hesitate to reach out to your contact.
This role typically includes but is not limited to:
Finding cost of care: Navigating members to providers willing to accept cash pay at a reasonable rate.
Helping with navigation of members
Comparing costs to RBP: Comparing the price of services from the provider to the reference-based pricing calculator to confirm eligibility within the plan rules.
Creating cards: In the portal, requesting a Cash Pay Card.
Providing cards to members: Once the card is approved, providing card info and instructions on how to use it.
Managing receipts: Once a transaction occurs, following up with members when a receipt has not been uploaded to the portal.
Canceling cards: Managing active cards and cancelling cards when necessary.