- Assist in linking patients to public health insurance programs, navigating the healthcare marketplace, or securing an appointment with a managed care plan facilitator.
- Assist providers with distribution of materials related to patient care and health education, in order to clarify and support provider instructions.
- Assist patients with appointments to specialists, at time of service.
- Track referrals in ECW, follow-up with patient, and obtain consultant reports.
- Check eligibility on insurance portals, including PCP/Dental Home listing.
- Check and connect coordination of benefits (COB) by calling insurance companies.
- Assist with fee collection, explanation of services, and charges for patient services.
- Scrub daily claims for billing.
- Update referral list among providers and support staff with new community referrals..
- Obtain pre-authorization for Behavioral Health Services.
- Facilitate patient care with other Advantage Care specialists, other FQHCs, and community providers.
- Communicate effectively with team members, providers, nurses, and administrative staff on potential barriers to care on specific patients.
- Obtain linkage agreements.
- Track and reconcile referral orders for Medical and Behavioral Health Services with follow up through completion.
- Provide minimum bi-monthly Cognos Reporting to the Practice Manager for Quality Assurance and Risk Management committees.
- Collaborate with Practice Manager and Clinical Nurse Manager to identify and overcome barriers for successful referral completion.
- Compliance with social distancing, adherence to PPE and infection protocols.
- Perform other related duties, as assigned.
- Navigate Payors dashboards to recruit new patients
- Bachelors Degree preferred.
- Basic Life Support/AED certification required.
- Strong oral, written and organizational skills required.
- Prior experience coordinating activities of a busy medical office or health care center, preferred.
- Proficient in Microsoft Suite computer applications.
- Knowledge of Electronic Medical Record (EMR), required
- Excellent patient service orientation.
- Ability to deal effectively with people and work in a team environment.
- Bilingual in both English and Spanish (orally and written), preferred.
-
Patient Navigator-ADVTG
1 week ago
AHRC Nassau Glen Head, United StatesThe Patient Navigator identifies and links eligible patients and their families to primary care, mental health, restorative dental services, substance abuse treatment, specialty care, and other required services. Insurance eligibility, prior authorizations, and coordination of re ...
-
patient rep-advtg
3 weeks ago
AHRC Nassau Glen Head, NY , USA, United StatesThe Patient Representative is responsible for intakes of new patients, scheduling of patient appointments, updating Health Insurance plans and making "cases" as needed, checking Dental managed care insurance to make sure Advantage Care is the dental home · Primary duties and resp ...
-
Patient Rep-Advtg
3 weeks ago
Advantage Care Health Centers Glen Head, United StatesOverview: · The Patient Representative is responsible for intakes of new patients, scheduling of patient appointments, updating Health Insurance plans and making cases as needed, checking Dental managed care insurance to make sure Advantage Care is the dental home · Responsibil ...
-
Patient Navigator
2 weeks ago
Apicha Community Health Center New York, United StatesApicha Community Health Center's mission is to provide affordable healthcare for underserved and vulnerable people living in the New York City boroughs and on the lower east side of Manhattan. The phrase "we care" embodies everything that Apicha does. Whether it's our approach to ...
-
Patient Navigator
2 weeks ago
Sun River Health Amityville, United StatesSun River Health provides the highest quality of comprehensive primary, preventative and behavioral health services to all who seek it, regardless of insurance status and ability to pay, especially for the underserved and vulnerable. Sun River Health is a Federally Qualified, Non ...
-
Patient Navigator
2 weeks ago
Rutgers University Newark, United States**Position Details**: · - Position Information**Recruitment/Posting Title** · - Patient Navigator - MCM**Job Category** · - Academic - Healthcare - Medical and Patient Services**Department** · - NJMS-Medicine-Infectious Disease**Overview** · - New Jersey's academic health center, ...
-
Patient Navigator
2 weeks ago
GRAMERCY SURGERY CENTER New York, United States**Hire New Employee for Patient Admissions Department**: · Job Title: Pre-Admission Testing (PAT) Coordinator/Patient Navigator · Job Location: Manhattan · Job Description, But Not Limited to the Following: · Medical clearances for Manhattan and Queens facilities: · - Update pre- ...
-
Patient Navigator
1 week ago
Mount Sinai New York, United States**Description** · The Patient Navigator oversees a caseload of patients and acts as the primary liaison between the patient and the program to which they are assigned. The Patient Navigator is responsible for implementing the comprehensive care plan to each patient as determined ...
-
Patient Navigator
1 week ago
The Floating Hospital Long Island City, United States: · Founded in 1866, The Floating Hospital (TFH), is one of the last remaining charity hospitals in New York City. Our commitment is the same as it was more than 150 years ago: unrestricted healthcare to all who walk through our doors, regardless of immigration and insurance stat ...
-
Patient Navigator
1 week ago
NewYork-Presbyterian Hospital Brooklyn, United States**Creating a Lasting Impression on the Patient Experience** · **Patient Navigator - Care Coordination Office - Days** · The Patient Navigator guides patients through the health care system, including providers' offices, hospitals, insurance and payment systems, patient-support or ...
-
Patient Service Navigator
3 weeks ago
Northwell Health New Hyde Park, United StatesEscorts or transports patients within facility. Records patient movement in transport tracking system. Picks-up and delivers materials and equipment. Assists in performing related routine clerical duties or duties related to specialty areas of assignment. · Job Responsibility · - ...
-
Patient Navigator
3 weeks ago
Catholic Health Service Roslyn Heights, United StatesOverview As a patient navigator, sometimes referred to as a patient advocate, your responsibilities are to help coordinate a patients experience in the healthcare system. You plan care goals for patients, support and educate them about treatment options, help them understand refe ...
-
Lead Patient Navigator
3 weeks ago
Advantage Care Health Centers Glen Head, United StatesOverview: · The Lead Patient Navigator identifies and links eligible patients and their families to primary care, mental health, restorative dental services, substance abuse treatment, specialty care, and other required services. Insurance eligibility, prior authorizations, and ...
-
Prep Patient Navigator
3 days ago
Acacia Network Bronx, United StatesThe **Prep Patient Navigator**'s role is to assist patients in navigating the medical system to complete a medical evaluation and initiate PrEP therapy. The Navigator reinforces adherence and retention in care, accompanying clients for food shopping, health/nutritional education ...
-
lead patient navigator
3 weeks ago
AHRC Nassau Glen Head, NY , USA, United StatesThe Lead Patient Navigator identifies and links eligible patients and their families to primary care, mental health, restorative dental services, substance abuse treatment, specialty care, and other required services. Insurance eligibility, prior authorizations, and coordination ...
-
Patient Svc Navigator
1 week ago
Northwell Health Bay Shore, United StatesEscorts or transports patients within facility. Records patient movement in transport tracking system. Picks-up and delivers materials and equipment. Assists in performing related routine clerical duties or duties related to specialty areas of assignment. · Job Responsibility · - ...
-
Patient (Community) Navigator
2 days ago
Rutgers University Newark, United States**Position Details**: · - Position Information**Recruitment/Posting Title** · - Patient (Community) Navigator**Job Category** · - Staff & Executive - Healthcare**Department** · - NJMS-Emergency Medicine**Overview** · - New Jersey's academic health center, Rutgers Biomedical and H ...
-
Patient Navigator #full Time
1 week ago
61st Street Service Corp New York, United States Full time**Job Summary**: · The Patient Navigator provides case management services to the patients in the nephrology clinic. The incumbent will be the main point of contact for new and established patients with Polycystic kidney disease. The Patient Navigator builds strong relationships ...
-
Patient Navigator #full Time
3 weeks ago
61st Street Service Corp New York, United States Full time**Job Summary**: · The Patient Navigator provides case management services to the patients in the nephrology clinic. The incumbent will be the main point of contact for new and established patients with Polycystic kidney disease. The Patient Navigator builds strong relationships ...
-
Care Access Patient Navigator
1 week ago
York Hospital York, United StatesAt York Hospital, we are more than a hospital. We are a team of providers, clinicians and staff members offering expertise within a hospital setting, our community sites, and physician practices located throughout Southern Maine and the NH seacoast. Our caregivers' commitment is ...
Patient Navigator-ADVTG - Glen Head, United States - Advantage Care Health Centers
3 weeks ago
Description
Overview:
The Patient Navigator identifies and links eligible patients and their families to primary care, mental health, restorative dental services, substance abuse treatment, specialty care, and other required services. Insurance eligibility, prior authorizations, and coordination of referrals are an integral part of this position to aid patients in coordination of their care. In addition, this person will perform other related duties as assigned on an as needed basis.
Responsibilities:
