Patient Navigator Specialist

Cottage Health•Goleta, CA

27d

About The Position

The Patient Navigator Specialist connects the Cottage Health community with efficient access to care. The position is responsible for scheduling appointments, verifying insurance, reviewing/editing/obtaining pre-authorizations, and communicating directly with clinical staff/offices on pertinent patient information. Staff are adept at resolving any general inquiries posed by patients and callers. Provides exceptional customer service and demonstartes dedication to the organization's mission, vision and values. Responsibilities This is not an exhaustive statement of duties, responsibilities, or requirements. Employees will be required to perform any job, with related instruction given by their supervisor, subject to reasonable accommodation.

Requirements

Minimum: Basic MS Word, Outlook and Excel skills; 35 wpm keyboard/typing speed
Ability to make independent decisions, utilizing available resources as needed, obtainingapproval, if needed, per policy and procedures.
Possesses empathy, a positive attitude, flexibility, a strong work ethic and the ability to effectively deal with stress.
This position must be able to participate as part of a highly functioning team.
The employee communicates effectively.
Able to effectively communicate both verbally and in written correspondence
Ability to maintain patient confidentiality in all aspects of patient affairs.

Nice To Haves

Preferred: Associate's degree
Preferred: Certified Revenue Cycle Representative or Certified Patient Access Specialist (HBI)
Preferred: MS Office Suite. Experience working with Epic. Knowledge of medical terminology

Responsibilities

Answers incoming calls and other contact methods with standard professional department greeting and follows appropriate scripts.
Offers prompt and efficient assistance for coordination of patient appointments, provides updates and follow up with patients when appropriate, and communicates with clinics using the proper channels.
Schedules appointments across multiple service lines.
Makes outbound calls as required. (40%)
Responsible for maintaining updated information on patient accounts, including demographics, insurance and financial information.
Advises patient/guarantor of benefits and offers estimates on financial responsibility, collects payment when appropriate from patient/guardian.
Reviews, edits and obtains authorization as specified by insurance companies prior to patient services.
Contacts departments and/or patient when additional information is required or to alert them regarding pending/or denied authorization status.
Monitors and maintains all centralized work queues.
Answers inquiries pertaining to patient accounts and counsels patient needing financial assistance (50%)
Assists with employee onboarding and training as needed.
Tasks assigned by Supervisor or Manager (10%)