- Coordinates patient care based on referrals/order/requests from clinicians
- Creates, tracks, manages, modifies, and monitors patient authorizations as they relate to the treatment plan and in alignment with payer requirements
- Creates, tracks, manages, modifies, and monitors patient authorizations as they relate to the treatment plan and in alignment with payer requirements
- Organizes schedules and manages appointments for patients to ensure they receive services in a timely manner
- Regularly creates and discusses with the patient any financial estimates for care
- Help patients and their families navigate the process of using insurance to pay for care and educates patients on coverage and limitations
- Connects the patient to financing and/or financial assistance options based on client need and organizational policy
- Responsible for gathering patient data (demographics)
- Schedules/Registers/pre-registers patients for treatment
- Verifies insurance via verification tool
- Collects patient portions of fees and posts appropriately in the EMR
- Conducts daily reconciliation of all collections
- Participates in departmental and hospital-wide informational meetings and in-services, including staff meetings, hospital-wide forums, and seminars.
- Displays proper etiquette and mannerisms that reflect the SHINE Behavior Standards.
- Promotes the Patient Safety Standards as a core value of the organization.
- Communicates treatment options to the patient as directed by clinicians
- Perform related tasks to make it easier for patients to receive the best possible health care at our hospital
- Provide advocacy, patient education and support in accessing community-based and hospital-based programs
- Assists in creating and directing communication to the referring physician to include, but not limited to, diagnostic reports, care summaries, referral outcomes, etc
- Address data deficiencies as identified in registration/demographic data
- Works no show, reschedule, cancellation report for service recovery options
- Reviews department and hospital-wide policies and procedures annually.
- All other duties as assigned.
- Must have excellent critical thinking skills and be able to independently solve complex issues related to care navigation and payer requirements
- Must be able to communicate effectively across multiple forums
- Must be able to coordinate multiple projects simultaneously.
- Understand interactions/workflow between financial and clinical areas.
- Must demonstrate attention to detail.
- Must demonstrate advanced knowledge of healthcare coverage limitations, requirements, and financial liability
- Must be have knowledge of grant, private, and public financial assistance organizations
- Exceptional customer-service orientation
- Ability to interact effectively with colleagues, providers, clinic staff, hospital staff, administration, patients, public and outside technical people.
- Effectively communicate and educate both peers and patients via written communication forums
- Ability to collaborate across multi-disciplinary teams both internally and externally
- High school diploma or equivalent (required).
- Strong understanding of the needs and obstacles faced by the local patient population
- Strong communication skills
- Bilingual (English/Spanish) preferred
- Computer literacy desirable
- Basic computer skills (required).
- Three or more years as a patient registrar or scheduler preferred
- Experience with electronic medical systems
- Knowledge of healthcare payer regulation and guidelines
- Extensive knowledge of healthcare coverage tiers/product lines
- Medical terminology (preferred).
- CRCR credential (preferred)
-
Infinity Systems Navajo, United States Full time'Díí níłch'iłgo yá'át'ééh · Yá'át'ééh shik'éí dóó shik'éí dóó shik'éí dóó shik'éí dóó shik'éí dóó shik'éí dóó shik'éí dóó shik'éí dóó shik'éí dóó shik'éí dóó shik'éí dóó shik'éí dóó shik'éí dóó shik'éí dóó shik'éí dóó shik'éí dóó shik'éí dóó shik'éí dóó shik'éí dóó shik'éí dóó s ...
-
Financial Analyst, Full Time
6 days ago
Summit Healthcare Regional Medical Center Show Low, United States Full timeThe following information is designed to outline the functions and position requirements of this job. It does not identify all tasks that may be expected, nor address the performance standards that must be maintained. · General Position Summary: · The financial analyst particip ...
-
Store Assistant, Full Time
1 week ago
Circle K Show Low, United States Full timeCircle K - 500 N Clark Rd [ASM / Store Supervisor] As an Assistant Store Manager at Circle K, you'll: Perform shift supervision; Perform and train all duties of the Customer Service Representative and Lead CSR positions; Prepare and transmit the daily bookkeeping, invoicing, and ...
-
RN, Chemo Oncology- Full Time
2 days ago
Summit Healthcare Regional Medical Center Show Low, United States Full timeFull Time- 32 hours per week. Eligible for Retention Bonus and Relocation Bonus. · Welcome to Summit Healthcare's premier cancer center in Show Low, Arizona. If you or a family member has been diagnosed with cancer, we provide state-of-the-art treatment for our patients. We inco ...
-
Senior Provider Recruiter- Full Time
4 days ago
Summit Healthcare Regional Medical Center Show Low, United States Full timeJob Summary · The Senior Provider Recruiter will be an essential contributor to the standardization of recruitment and onboarding processes, protocols and procedures to ensure successful sourcing, tracking and hiring of qualified physician and advanced practice professional cand ...
-
SilverTech Martinez Lake, United StatesWe are an expanding and successful electrical wholesale company with decades of experience, and we are currently seeking a FULL-TIME/PART-TIME ACCOUNTANT (M/F/D) for our headquarters in Cologne, located in Martinez Lake. If you value teamwork and possess a strong focus on custome ...
-
RN - ICU, Full Time Night Shift
2 days ago
Summit Healthcare Regional Medical Center Show Low, United States Full timeCome work where others vacation We are seeking experienced Registered Nurses for our 12 bed ICU Unit Now offering a $10k sign on bonus & relocation assistance plus night shift differential · Our People.The culture of nursing here is diverse, friendly, and supportive. We work cohe ...
-
Circle K Show Low, United States Part timeCircle K S. White Mountain Rd. [Retail Associate / Team Member] As a Customer Service Representative at Circle K, you'll: Provide prompt, courteous customer service and resolve customer issues on shift; Ring up all sales on cash register properly; Perform multi-function operation ...
-
Summit Healthcare Regional Medical Center Show Low, United States Full time** Seeking an experienced RN to join our Emergency Services Team for Mid Shift · $10k Sign on Bonus - Relocation Assistance - Shift Differential - Excellent Benefits Offered ** · Our People. In our department, we go beyond the typical coworker dynamic; we operate as a family un ...
-
Circle K Show Low, United States Part timeCircle K S. White Mountain Rd. [Department Manager] As a Lead Customer Service Representative at Circle K, you'll: Provide prompt, courteous customer service and resolve customer issues on shift; Provide training assistance to new Customer Service Representatives; Perform shift s ...
-
Summit Healthcare Regional Medical Center Show Low, United States Full timeThe following information is designed to outline the functions and position requirements of this job. It does not identify all tasks that may be expected, nor address the performance standards that must be maintained. Essential functions may change based on organizational need. ...
-
Behavior Technician, Full-Time
1 day ago
Perseus Learning Center Pinetop-Lakeside, United States Full timeJob Description · Job DescriptionWhy join Perseus Learning Center? What are the benefits? · Must be at least 18 years old and have a HS Diploma or a GED · Company provides a 40-Hour RBT Certification course · Free BCBA Supervision hours and free RBT Supervision · 40 hours of Accr ...
-
Store Assistant, Full Time
1 week ago
Circle K Pinetop-Lakeside, United States Full timeCircle K W White Mtn Blvd [ASM / Store Supervisor] As an Assistant Store Manager at Circle K, you'll: Perform shift supervision; Perform and train all duties of the Customer Service Representative and Lead CSR positions; Prepare and transmit the daily bookkeeping, invoicing, and ...
-
Store Assistant, Full Time
1 week ago
Circle K Taylor, United States Full timeCircle K - 615 N Main Street [ASM / Store Supervisor] As an Assistant Store Manager at Circle K, you'll: Perform shift supervision; Perform and train all duties of the Customer Service Representative and Lead CSR positions; Prepare and transmit the daily bookkeeping, invoicing, a ...
-
Technological programmer
2 weeks ago
Neptune Enterprises Lake of the Woods, AZ, United States Freelance**Job Reference: ** · **Company Name: Black Forest Games GmbH** · **Salary: Competitive** · **Location: Lake of the Woods, AZ** · **Country: Germany** · **Industry Sector: Programming** · **Job Start Date: ASAP** · **Posted Date: 03/03/2023** · **Experience Level: Junior-Associat ...
-
Full Time Internal Medicine Physician
2 weeks ago
T.H.E. Health & Wellness Centers Whiteriver, United States Full timeWhiteriver Indian Hospital - Full Time · Hours:Flexible · Employed · MD/DO · New Graduates · Average Patients seen: Emergency Room Visits Per Day · Call Schedule: No Call · Loan Repayment · Sign-On Bonus · Compensation: Compensation up to $270K Depending on Experience | Relocatio ...
-
Full Time Family Medicine Physician
2 weeks ago
T.H.E. Health & Wellness Centers Whiteriver, United States Full timeWhiteriver Indian Hospital - Full Time · Hours:Monday - Friday 8 AM - 5 PM | No Nights or Weekends · Employed · MD/DO · New Graduates · Average Patients seen: 10-13 · Call Schedule: Phone Only, Very Light · Loan Repayment · Sign-On Bonus · Compensation: Compensation up to $225K D ...
-
Full Time Family Medicine Physician
2 weeks ago
T.H.E. Health & Wellness Centers Whiteriver, United States Full timeWhiteriver Indian Hospital - Full Time · Hours:Flexible · Employed · MD/DO · New Graduates · Average Patients seen: Emergency Room Visits Per Day · Call Schedule: No Call · Loan Repayment · Sign-On Bonus · Compensation: Compensation up to $270K Depending on Experience | Relocatio ...
-
Sales Associate
2 weeks ago
Infinity Systems Martinez Lake, AZ, United States FreelanceJob Description: HUGO BOSS is one of the leading fashion and lifestyle companies in the premium segment with more than 14,000 employees worldwide. As diverse as we are, we share a common goal: We love fashion, we change fashion Become a brand ambassador and be part of a team that ...
-
Electrical Assistant
2 weeks ago
Blue Horizon Enterprises Martinez Lake, AZ, United States FreelanceARWA Personaldienstleistungen GmbH represents: · A - Attractive employer. · R - Respectful interaction. · W - Strong-willed employees. · A - Excellent service. · We actively listen to our applicants and clients. · You share your wishes, professional values and goals with us. · We ...
Patient Care Navigator, Revenue Cycle- Full Time - Show Low, United States - Summit Healthcare Regional Medical Center
Description
The following information is designed to outline the functions and position requirements of this job. It does not identify all tasks that may be expected, nor address the performance standards that must be maintained. Job functions may change based on organization need.General Position Summary:
The Patient Care Navigator role aids in treatment coordination and is committed to removing the client's barriers to care.
The person in this role will navigate the patient through the healthcare process to include educating patients on their healthcare options, explaining the pros and cons of various treatments, discussing patient financial responsibility and financing options, and ensure that they have a good understanding of what their care process is going to look like.
The ideal candidate will have a strong understanding of healthcare systems and how they function as well as payer requirements.
The Patient Care Navigator should be able to empathetically engage in financial conversations related to treatment options while taking the time to get to know the patient and their goals.
This role requires a compassionate, positive individual who is capable of inspiring confidence in the patients you work with while promoting overall client health.
Patient Navigators will work closely with the Care Team, often communicating with doctors, nurses, office managers, and other clinical staff to support positive client health outcomes.
Essential Functions / Major Responsibilities:
Other Responsibilities:
Job Knowledge:
Interpersonal Skills:
Education and/or Experience:
