Patient Navigator

Who we are:  

Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most – patient care. Headquartered in Stamford, Connecticut, Spire Orthopedic Partners is a growing partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices in today’s evolving healthcare landscape. The Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts. 

Ortho Rhode Island is a world-class group of talented providers and professionals, all working together to offer value and quality in everything we do. Each Ortho Rhode Island team member is dedicated to thinking like a patient, and to offering the best experience in our industry, driven by our core values: delivering on our word, respecting each other, innovating in orthopedics, valuing every individual, and engaging our community.  

What you’ll do:  

The Vision of Patient Navigator program is the essential link in providing a team-based approach to patient care and an exceptional patient experience.  The Patient Navigator will emphasize highly personalized care and help patients surpass barriers to healthcare by improving the patient/provider relationship.   

Responsibilities/Duties:   

• Welcomes patients by greeting them, in person or on the telephone, answering or referring to inquiries.  

• Prepares patients for the health care visit by accompanying them to exam room; providing exam gowns; arranging examining room instruments, supplies, and equipment to create an exceptional patient experience.  

• Preparing patient charts prior to patient arrival  

• Knowledgeable of check in software  

• Assist providers in the treatment of patients by obtaining histories and vitals, preparing injections, setting up sterile fields, suture removal, dressing changes.   

• Verifying patient’s medical record is complete and accurate for medical coding purposes.  

• Triage patient calls and physician messages  

• Process and fulfill physician approved prescription requests.  

• Obtain authorizations for prescriptions.  

• Maintain exams rooms with adequate medical supplies and sterilization as required.  

• Completing forms such as (but not limited to): TDI/FMLA and Work Notes  

• Scheduling follow up appointments, initial therapy visits, and MRI appointments.  

• Obtain prior authorizations as needed for advanced imaging studies and specialty injections as assigned.  

• Advise patients on any co-payment or co-insurance prior to in office procedures.  

• Update patient of authorization status and confirm receipt of specialty injection or imaging study being sent to facilities outside of ORI.  

• Send referrals to specialists and pain centers as ordered by the physician.  

• Remain accountable and follow through on all commitments made to patients.  

• Compliance with HIPAA and OSHA regulations  

• Other duties may be assigned as necessary. 

Who you are: 

Qualifications:  

• High School Graduate or equivalent  

• Formal training as a medical assistant or certification as a medical assistant (preferred).  

• Any combination of