Patient Access Navigator

Description

Job Summary:

Responsible for performing intake and patient service functions to optimize the patient’s quality of care.

Internal: The Patient Access and Eligibility Specialist’s role within the organization is to maintain department philosophy, goals and objectives, standards, policies, and procedures and interprets these to ensure high-quality care. All team members are expected to treat one another with mutual respect, professionalism, and accountability.

External: The Patient Services Coordinator’s role within the community is to represent HSNT in providing outstanding customer service to patients during the registration process. Patient confidentiality, acceptance and respect for various ethnic and cultural backgrounds, and appropriate and affective communication skills are paramount concerns for this position.

Essential Duties/Responsibilities:

• Screens patients for eligibility for pro-grams/healthcare coverage and supports enrollment.
• Support patient payer portal scheduling and monitoring
• Gathers pertinent patient, clinical and financial information to optimize the patient’s quality of care.
• Communicates with referral sources, new patients, and their family members to educate on HSNT services.
• Processes registration information by performing various duties including insurance verifications, determining the coordination of benefits, and working with various internal sources to understand HSNT’s financial assistance policies and effectively communicate it to patients.
• Responsible for accurately entering all new patient information into Electronic Medical Record (EMR) system.
• Coordinates inbound hospital referrals, MOUs, and is the point of contact for communication partner needs.
• Places outbound calls to potential patients.
• Develops and maintains effective working relationships with Providers, Care Managers, Managed Care Organizations, and other pertinent payer/referral sources.
• Always maintains and protects the confidentiality of patient information, enforces patient rights regarding privacy, personal property, and grievances.
• Communicates timely and accurately with referral source and other HSNT departments to ensure coordinated and comprehensive care contributes to the total plan of care.
• Participates in quality initiatives as needed.
• May perform other duties as assigned by the Business Office Manager and Senior Practice Administrator.
• Regular in-person attendance is required as an essential function for this position.
• Must have the ability to work efficiently under stressful conditions and or environment in a timely manner.

Requirements

Required Knowledge/Skills/Abilities:

• Knowledge of medical terminology including previous intake experience; scheduling and payment collections.
• Bilingual skills (Spanish/English) preferred.
• Exceptional customer service skills.
• Knowledge of 3rd party reimbursement programs.
• Strong computer skills (including familiarity with electronic health record systems).
• Strongly developed attention to detail.
• Ability to adapt easily to changing environments.
• Ability to multi-task in a busy environment.
• Ability to communicate effectively with all levels of the organization.
• Ability to organize and prioritize.
• Ability to maintain confidentiality.
• Must have proven skills in working independently, self-motivated and goal oriented.
• Ability to work flexible hours, as registration responsibilities may dictate.

Education and Experience:

• Associates degree or equivalent experience.
• Minimum 1-year previous full-time experience in a front office role within a medical environment.
• Experience with benefits and coverage for programs like Medicaid, Medicare, and ACA.

Work Environment:

• The activity for this position requires the employee to work in-person onsite in a clinical setting.
• May be required to work alternative schedules.
• Must be able to move, transport, position, and lift up to 15 pounds as needed.
• Must be able to remain in a stationary position such as standing or sitting for up to 8 hours per day.
• Must be able to walk, move, and/or traverse as needed.
• Must possess the ability to communicate, detect, converse with, discern, convey, express oneself, and exchange information fluently and frequently.
• Must possess the ability to retain information.
• Must be able to observe, assess, recognize, identify, determine, and perceive at all times.
• Must be able to operate a computer and other office productivity machinery at