Patient Care Coordinator

1 week ago

Warwick, Rhode Island, United States Ortho Rhode Island Full time
Job Title: Patient Navigator

At Ortho Rhode Island, we are seeking a highly skilled and compassionate Patient Navigator to join our team. As a Patient Navigator, you will play a vital role in providing exceptional patient care and ensuring a seamless experience for our patients.

Key Responsibilities:
  • Welcome patients and provide a warm and welcoming environment
  • Prepare patients for healthcare visits by accompanying them to exam rooms and providing exam gowns
  • Prepare patient charts prior to patient arrival
  • Assist providers in the treatment of patients by obtaining histories and vitals, preparing injections, setting up sterile fields, suture removal, dressing changes
  • Verify patient medical records are 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 exam rooms with adequate medical supplies and sterilization as required
  • Complete forms such as TDI/FMLA and Work Notes
  • Schedule 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 patients on 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
Requirements:
  • 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
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.

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