Lead HCA Navigator

Cooper University Health Care•Audubon, NJ

34d

About The Position

Appointment scheduling to patients PCP within 7 days or discharges. If patient has no PCP, assist with obtaining PCP and schedule appropriate appointment within set guidelines. Facilitate patient discharge from 24/7 Emergency Department by coordinating/scheduling follow-up appointments. Works closely with both primary care physicians and physicians in all specialty areas to coordinate patient's care plan for consultations, procedures, testing, surgeries or other services as ordered by the treating ED provider. Verify insurance coverage and demographic information. Collect and receipt patient payments Responsible for retaining patients in the Cooper Health System whenever possible by scheduling directly in Centricity Business system, Central Scheduling, or calling physicians' offices directly Schedule patients for appointments with community services when appropriate. Ability to work collaboratively with and communicate with multidisciplinary teams on behalf of the patient. Inform patients of billing policies and managed care referral and/or pre-authorization requirements Assists patients and their families with obtaining referrals from PCP to needed specialist when needed. Provides support and counseling to patients and families as appropriate. Communicates with referring providers as appropriate to address patient and physician needs. Partners with patients, families, the interdisciplinary team and community resources to provide well-coordinated, timely, and exemplary care. Serves as a resource for community resources Track and report weekly on all scheduled services. Float to other ED Registration work areas, as needed, to assist with patient access to Cooper services. Position will cover all discharged patients on IP units, CDU, Urgent Care Centers, Cooper Camden ED, Salem ED, and other hospital-based care areas as deemed in scope

Requirements

High school diploma/GED required

Nice To Haves

Preferred Experience includes:• Minimum three years of registration, scheduling, or billing experience working in a medical facility.
Proficiency in patient registration, scheduling, medical insurance pre-certifications, authorizations, and referrals
Epic experience preferred
Associate's degree preferred
NAHAM Certified Healthcare Access Associate (CHAA) certification or HFMA Certified Revenue Cycle Representative preferred

Responsibilities

Appointment scheduling to patients PCP within 7 days or discharges.
Assist with obtaining PCP and schedule appropriate appointment within set guidelines if patient has no PCP.
Facilitate patient discharge from 24/7 Emergency Department by coordinating/scheduling follow-up appointments.
Coordinate patient's care plan for consultations, procedures, testing, surgeries or other services as ordered by the treating ED provider.
Verify insurance coverage and demographic information.
Collect and receipt patient payments
Responsible for retaining patients in the Cooper Health System whenever possible by scheduling directly in Centricity Business system, Central Scheduling, or calling physicians' offices directly
Schedule patients for appointments with community services when appropriate.
Ability to work collaboratively with and communicate with multidisciplinary teams on behalf of the patient.
Inform patients of billing policies and managed care referral and/or pre-authorization requirements
Assists patients and their families with obtaining referrals from PCP to needed specialist when needed.
Provides support and counseling to patients and families as appropriate.
Communicates with referring providers as appropriate to address patient and physician needs.
Partners with patients, families, the interdisciplinary team and community resources to provide well-coordinated, timely, and exemplary care.
Serves as a resource for community resources
Track and report weekly on all scheduled services.
Float to other ED Registration work areas, as needed, to assist with patient access to Cooper services.
Position will cover all discharged patients on IP units, CDU, Urgent Care Centers, Cooper Camden ED, Salem ED, and other hospital-based care areas as deemed in scope