Full-time FMS Patient Navigator

Lexington Regional Health Center•Lexington, NE

9d•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. The role supports patient registration, billing and payments, clinic operations, and coordination of care with clinical staff. It also helps connect patients—particularly high-risk patients and those who miss appointments—with follow-up and needed services. The position is non-exempt and requires regular attendance at the assigned work location. The role is primarily desk and computer based in a normal office environment, with time spent assisting other areas as needed. It requires confidentiality, customer service, basic accounting and computer skills, and successful completion of required standard-precaution training. The position may involve exposure to bloodborne pathogens and requires handling and transporting supplies, including boxes weighing up to 30 pounds as described in the duties and up to 50 pounds in the working-conditions information.

Requirements

Ability to read and write, with basic accounting and computer knowledge typically acquired through a high school diploma or equivalent.
Must be at least 19 years old to sign legal documents.
One year of work experience typically providing the ability to interpret reports, business directives, policies and procedures, and governmental regulations; keep up 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 knowledge and training in standard-precaution protocols and when to apply them.
Ability to perform the described physical tasks, including desk and computer work, fine motor tasks, and lifting, carrying, and storing supplies.

Responsibilities

Accurately screen and register patients, entering demographic, relationship, and insurance information promptly while treating patients with care, courtesy, and confidentiality.
Ensure patient consent is signed, document Medicare messages when applicable, complete Medicare questionnaires when applicable, and provide patients with the Patient Bill of Rights, Payment Policies, and HIPAA Privacy information.
Review and manage work queues, including Eligibility, Medicare Secondary Payer Questionnaire Completion, Incomplete Verification, and Registration Error/Follow-up.
Answer phone calls and assist callers or route them appropriately throughout the facility.
Process cash, check, and credit card payments in person and over the phone.
Post payments to patient accounts and balance the cash drawer at the end of each shift.
Follow up with patients for information needed to successfully submit insurance claims.
Ensure patients and visitors follow current infection-control guidelines.
Coordinate with clinical staff to optimize provider schedules and arrange timely follow-up for high-risk patients, including patients who miss scheduled appointments.
Collaborate with clinical staff to identify patient-care gaps and develop processes connecting patients with necessary 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.
Help ensure the environment meets appropriate governing-body standards.
Maintain patient and staff safety through use of patient safety tools such as Teamstepps and Just Culture.
Attend work regularly at the assigned location and perform other duties as assigned.