Patient Access & Referral Navigator (Medical Office)

Adventist Health Northwest Heart Center; Hanford (CA); Hybrid; USD 38,000 - 52,000; Full time

Job summary

Adventist Health Northwest Heart Center in Hanford, CA seeks a Medical Assistant for outpatient clinic overhead call center duties during the day shift. The role focuses on managing referrals, scheduling appointments, and delivering excellent patient service to streamline care.

Key tasks include insurance verification, obtaining pre-authorizations, updating patient information, and coordinating with providers.

Qualifications

• High School Education/GED or equivalent: Preferred
• Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred

Responsibilities

• Processes inbound and outbound referrals and verifies per protocol.
• Obtains benefit verification and necessary authorizations prior to patient arrival.
• Verifies demographics and insurance eligibility; updates records as needed.
• Acts as navigator for patients and families and coordinates with carriers.
• Maintains productivity and timeliness of referrals and scheduling.

Skills

Patient scheduling

Insurance verification

Customer service

EHR proficiency

Education

HS diploma or GED

Associate's degree or related experience

Tools

EHR/EMR software

Insurance verification systems

Job description

Adventist Health Northwest Heart Center in Hanford, CA seeks a Medical Assistant for outpatient clinic overhead call center duties during the day shift. The role focuses on managing referrals, scheduling appointments, and delivering excellent patient service to streamline care.

Key tasks include insurance verification, obtaining pre-authorizations, updating patient information, and coordinating with providers.