Navigator-Peds Otolaryngology-Miramar-FT-Days-MPG

Memorial Healthcare System•Miramar, FL

13d•Onsite

About The Position

At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: The Patient Navigator is responsible for guiding patients through the complexities of the healthcare system. Working collaboratively with physicians, staff and other health care professionals to provide care coordination across the health care continuum for all assigned patients, the Patient Navigator ensures that safety, best practice, and high quality standards of care are maintained across the continuum. This role provides support and resources to patients, including connecting patients to available services, navigates insurance authorizations, coordinates care between providers, and works with healthcare providers to ensure that patients are receiving the best possible care.

Requirements

ACCOUNTABILITY
CUSTOMER SERVICE
EFFECTIVE COMMUNICATION
HEALTHCARE INDUSTRY
RELATIONSHIP DEVELOPMENT
RESPONDING TO CHANGE
STANDARDS OF BEHAVIOR
High School Diploma or Equivalent (Required)
BLS American Heart E-Card (BLS AHA ECARD) - American Heart Association (AMERICAN HEART), BLS American Heart RQI E-Card (BLS AHA-RQI ECARD) - American Heart Association (AMERICAN HEART), BLS Cert American Heart_non ecard (BLS AHA) - American Heart Association (AMERICAN HEART), BLS Certification Grace (BLS GRACE) - Employee Grace Period for Essential Credential (GRACE), BLS Cert Red Cross (BLS RC) - Red Cross (RED CROSS)
Complexity of Work: Success will be measured by the results of the process and outcome performance measures of the population of patients. Requires critical thinking skills, effective communications skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Knowledgeable in Excel, Word and PowerPoint and able to use electronic medical records such as EPIC.
One (1) year of experience in a healthcare setting required.

Responsibilities

Obtains pre-certification and authorization.
Verifies insurance benefits including obtaining insurance card(s) and confirms coverage is active.
Determines correct insurance filing order, if multiple insurance coverages are effective for that service.
Explains polices including all regulatory and financial consent forms; secures all required signatures.
May perform patient discharge functions including, but not limited to, review of after visit summary (AVS), future appointment scheduling, and referrals.
Interviews patients and guarantors at the workstation or bedside to obtain all necessary information, including a copy of the patient or guarantor identification card.
May confirm physician and prescription orders ensuring accuracy.
May schedule walk-in appointments for services offered.
Collects patient out-of-pocket responsibility per collection guidelines.
Provides patient estimates as requested.
Prepares and balances a daily deposit of all payment collections.
Provides exceptional customer service and ensures all questions and concerns are addressed in a timely and courteous manner.
May guide the patient to appropriate destination for services.