Healthcare Access Navigator

WVU Medicine Uniontown Hospital; Pennsylvania; Presencial; USD 60.000 - 85.000; Jornada completa

Descripción de la vacante

WVU Medicine Uniontown Hospital seeks a qualified professional to establish patient relationships and act as a primary contact for payor coordination. The role involves analyzing market data to identify payor populations, verifying insurance benefits, and ensuring coverage for obesity treatment where applicable.

The position requires 3 years in healthcare with at least 1 year in statistical data analysis, strong interpersonal and negotiation skills, and proficiency in Microsoft Office.

Formación

• Bachelor’s degree in Healthcare Management, Public Health, or related field OR;
• Associate’s degree in Healthcare Management, Public Health or related field AND two (2) years of experience directly related to the duties and responsibilities specified. OR;
• High school diploma or equivalent AND (4) years of experience directly related to the duties and responsibilities specified.

Responsabilidades

• Establishes close relationships with and serves as primary point of contact for patients.
• Strategizes to help find payor population based on regional payer mix by collecting and analyzing market data.
• Responsible for verifying insurance benefits and ensuring coverage for obesity treatment for patients.
• Maintain a working knowledge of insurance payors pre-certification requirements for medications, diagnostic testing, surgery, referrals, etc.
• Proactively review policies for changes to prevent delays in certification where applicable.
• Educates providers and staff on payor regulations in order to prevent denials.
• Removes barriers to care by identifying resources for patients and helping them navigate through healthcare services.
• Works with different service lines to assure coordination of appointments if applicable.
• Schedules patient appointments and adjusts as needed, coordinating with labs and tests, reminders, and wait-lists.
• R rounds on assigned patients daily and assists with scheduling discharge appointments.
• Assists with getting prescriptions filled and assesses costs and availability.
• Documents patient information and obtains outside records as needed.
• Engages family and community resources to meet emotional, social, and financial needs of the patient.
• Collaborates with social services for resource and financial management including entitlement programs and referrals.
• Other department duties may be assigned.
• Travel to all WVU Medicine Uniontown Primary Care Clinics.

Conocimientos

Interpersonal communication

Negotiation

Microsoft Office

Educación

Bachelor’s degree in Healthcare Management or Public Health

Associate’s degree with 2 years experience

High school diploma with 4 years experience

Herramientas

Microsoft Office

Descripción del empleo

WVU Medicine Uniontown Hospital seeks a qualified professional to establish patient relationships and act as a primary contact for payor coordination. The role involves analyzing market data to identify payor populations, verifying insurance benefits, and ensuring coverage for obesity treatment where applicable.

The position requires 3 years in healthcare with at least 1 year in statistical data analysis, strong interpersonal and negotiation skills, and proficiency in Microsoft Office.