Patient Navigator

4 weeks ago

Warwick, United States Ortho Rhode Island Full time
Job DescriptionJob 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:

  1. Welcomes patients by greeting them, in person or on the telephone; answering or referring inquires
  2. 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
  3. Preparing patient charts prior to patient arrival
  4. Knowledgeable of check in software
  5. Assist providers in the treatment of patients by obtaining histories and vitals, preparing injections, setting up sterile fields, suture removal, dressing changes
  6. Verifying patient’s medical record is complete and accurate for medical coding purposes
  7. Triage patient calls and physician messages
  8. Process and fulfill physician approved prescription requests
  9. Obtain authorizations for prescriptions
  10. Maintain exams rooms with adequate medical supplies and sterilization as required
  11. Completing forms such as (but not limited to): TDI/FMLA and Work Notes
  12. Scheduling follow up appointments, initial therapy visits, and MRI appointments
  13. Obtain prior authorizations as needed for advanced imaging studies and specialty injections as assigned
  14. Advise patients on any co-payment or co-insurance prior to in office procedures
  15. Update patient of authorization status and confirm receipt of specialty injection or imaging study being sent to facilities outside of ORI
  16. Send referrals to specialists and pain centers as ordered by the physician
  17. Remain accountable and follow through on all commitments made to patients
  18. Compliance with HIPAA and OSHA regulations
  19. Other duties may be assigned as necessary

Performance Requirements:

Knowledge:

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

Skills:

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

Abilities:

  1. Embracing ORI’s mission and vision through friendly and patient-oriented service
  2. Demonstrate excellent teamwork, organizational, and communication skills
  3. Adheres to processes, while looking for opportunities for innovation and improvement
  4. Critical thinking skills and deliberate in decision making
  5. Able to work at a fast pace, while demonstrating patience with patients
  6. Adheres to processes, while looking for opportunities for innovation and improvement
  7. 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.

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