Patient Navigator

Job Description

Job Description

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.

Duties and Responsibilities include but are not limited to :

• Welcomes patients by greeting them, in person or on the telephone; answering or referring inquires
• 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

Performance Requirements :

Knowledge :

• Excellent computer skills
• EMR Systems
• Practice Management System
• Microsoft Suite (including : Outlook, Word, Excel, Calendar)
• Phone Software
• Check-In Software
• Basic knowledge of insurance plans and referral requirements
• Knowledge of estimated co-payment and co-insurance
• Navigating Insurance Authorization websites
• Clinical knowledge, injections, DME, and Casting
• General understanding of processing legal forms (i.e. TDI, FMLA, etc)
• Effectively communicate tasks or projects to team members
• Ability to collaborate with supervisory teams and administrators on projects or assigned tasks

Skills :

• Familiarity and follow through with all HIPAA compliance
• Attention to detail
• Self-motivated, showing initiative to tackle important issues, problems and tasks

Abilities :

• Embracing ORI’s mission and vision through friendly and patient-oriented service
• Demonstrate excellent teamwork, organizational, and communication skills
• Adheres to processes, while looking for opportunities for innovation and improvement
• Critical thinking skills and deliberate in decision making
• Able to work at a fast pace, while demonstrating patience with patients
• Adheres to processes, while looking for opportunities for innovation and improvement
• Assertive

Work Environment :

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets.

Physical Demands :

• Requires mobility, frequent walking, standing, and sitting, some bending, stooping and stretching and periodic lifting of up to 50 lbs.
• While performing the duties of this job, the employee is regularly required to converse and hear.
• Requires normal (corrected) vision.
• Requires coordination and manual dexterity sufficient to operate office equipment

Any position working in the Ortho RI Surgery Center will be required to complete a background screening.