Care Navigator

Role Overview

• Utilize professional and courteous communication to greet patients when answering phone calls and responding to their inquiries.
• Review and manage recall appointments and no show/ cancellation reports
• Promptly and professionally route phone calls to appropriate personnel via direct transfer, paging, voicemail, or redirect as needed.
• Retrieve and appropriately route any messages from the answering service
• Perform registration functions for new or existing patients and activate patient files.
• Effectively collect and record copayments as required.
• Provide advanced financial support to patients and colleagues regarding claim and billing inquiries
• Retrieve and process prior authorizations
• Verify patient insurance eligibility and clearly communicate benefit limitations.
• Assist with scheduling patient appointments, follow-up visits, and care coordination
• Ensure accurate and detailed documentation of patient encounters.
• Provide additional support to patients and medical staff as needed.
• Work collaboratively with clinical colleagues, management, and other staff to ensure efficient practice operations.
• Ensure compliance with all Standard Operation Procedures (SOP's) and policies (including HIPAA & OSHA).
• Adhere to practice policies, procedures, and protocols.
• Participate in team meetings and contribute to quality improvement initiatives.
• Demonstrate commitment to organization's mission, vision, and values by embodying its principles in daily activities.
• Uphold high standards of ethical behavior, integrity, and professionalism.
• Actively contribute to creating a positive work environment that aligns with the organization's goals and objectives.
• Other duties as assigned

Requirements

• High School Diploma or equivalent required
• Minimum 1-2 years of customer service experience
• Call Center experience preferred, but not required
• Computer proficiency, including programs such as MS Office, Word, Excel, email and internet research.
• Knowledge of HIPAA and Insurance Payors
• Experience navigating healthcare insurance operations, including benefit verification, prior authorizations, referrals and patient collection
• Medical Receptionist/PSR experience preferred
• Experience with electronic health records (EHR) systems preferred, but not required

Benefits

• Full time benefit-eligibility beginning the first of the month after hire
• 401(k) with company match
• Generous PTO offering with additional time off for volunteering
• Choice of multiple medical insurance plans to best meet your needs
• Access to Axia providers at little to no cost through Axia’s medical insurance
• Axia-paid life insurance, short term and long term disability
• Free counseling for colleagues and family members, including parents and parents-in-law
• Access to discount on Hotels, Theme Parks, Gym Memberships, and more through the Great Works Perks Program
• Additional insurance options including dental, vision, supplemental life insurance, FSA, HSA w/ employer contribution, identity theft, long term care, pet insurance and more!