Full-time FMS Patient Navigator

Lexington Regional Health Center•Lexington, NE

6d•Onsite

About The Position

The Patient Navigator works in Family Medicine Specialists / Rural Health Clinics at Lexington Regional Health Center and reports to the Chief Population Health and Quality Officer. This non-exempt position supports patient registration, billing and payment processing, care coordination, patient outreach, and clinic operations. The role requires regular attendance at the assigned work location, confidentiality, customer service, and adherence to infection control and patient safety practices. The position is primarily desk and computer work in a normal office environment, with time spent assisting elsewhere in the clinic as needed. It involves lifting and moving supplies and paper, including boxes weighing up to 30 pounds around the clinic and transporting boxes of paper weighing up to 36 pounds with a dolly. A 50-pound box of printer paper must be emptied by moving individual five-pound reams. The role also includes potential exposure to bloodborne pathogens while performing assigned duties.

Requirements

High school diploma or equivalent, with basic reading, writing, accounting, and computer knowledge.
Must be at least 19 years old to sign legal documents.
One year of work experience involving the ability to interpret reports, business directives, policies, procedures, and governmental regulations; keep current with federal and state rules; provide excellent customer service; and use standard office equipment.
Ability to maintain strict confidentiality regarding protected and sensitive information.
Ability to solve problems independently and confidently using analytical and logical thinking.
Ability to respond promptly to common inquiries and complaints from patients, employees, and regulatory agencies.
Ability to communicate effectively with individuals from diverse backgrounds.
Ability to organize and present information effectively and respond to questions from employees and external groups of varying sizes.
Successful completion of required training and knowledge of standard precaution protocols and when to apply them.
Ability to perform the physical tasks described, including desk and computer work, fine motor tasks, lifting and carrying supplies, and reaching into cupboards.

Responsibilities

Accurately screen and register patients, entering demographic, relationship, and insurance information promptly and accurately while treating patients with care, courtesy, and confidentiality.
Ensure required patient consent and Medicare documentation are completed, and provide patients with the Patient Bill of Rights, Payment Policies, and HIPAA Privacy information.
Review and manage eligibility, Medicare Secondary Payer Questionnaire Completion, Incomplete Verification, and Registration Error/Follow-up work queues.
Answer phone calls and assist callers or route them appropriately throughout the facility.
Process in-person and telephone payments by cash, check, or credit card; post payments to patient accounts and balance the cash drawer at the end of each shift.
Follow up with patients to obtain information needed for successful insurance claim submission.
Ensure patients and visitors follow current infection control guidelines.
Coordinate with clinical staff to optimize provider schedules and arrange timely follow-up with high-risk patients, including those who miss appointments.
Collaborate with clinical staff to identify patient care gaps and develop processes connecting patients with services, follow-up, and care.
Coordinate care for patients needing hospital services, including hospital registration, contacting the receiving department, and escorting patients to the appropriate area.
Work with direct care management to conduct patient outreach and coordinate needed care.
Ensure the environment meets appropriate governing body standards.
Maintain patient and staff safety using patient safety tools such as Teamstepps and Just Culture.
Attend work regularly at the assigned location and perform other duties as assigned.