Patient Care Navigator & Access Advocate

WVU Medicine Golisano Children's; Morgantown (WV); On-site; USD 52,000 - 76,000; Full time

Benefits offered by this job

Health insurance

Paid time off

Retirement plan

Job summary

WVUH West Virginia University Hospitals in Morgantown seeks a healthcare coordinator to serve as the primary contact for patients, coordinate scheduling, and help navigate payer requirements. You will analyze market data to identify payer mix, educate staff on payor regulations, and collaborate with social services to secure financial assistance and resources for patients.

This full-time position offers a 40-hour week in a clinical/office setting with opportunities to make a tangible impact on

Qualifications

• Bachelor’s degree in Healthcare Management, Public Health, or related field as a minimum.
• Associate’s degree plus 2 years directly related experience.
• High school diploma plus 4 years directly related experience.

Responsibilities

• Establishes close relationships with and serves as primary contact for patients.
• Strategizes to help find payor population based on regional payer mix by collecting and analyzing market data; verifies insurance benefits and coverage for obesity treatment.
• Maintain knowledge of insurance payors pre-certification requirements and review policies to prevent delays.
• Educates providers and staff on payor regulations to prevent denials.
• Removes barriers to care by identifying resources for patients and helping navigate healthcare services.
• Coordinates appointments with service lines, labs, and diagnostic testing.
• Monitors admissions and discharge scheduling and follow-up appointments.
• Assists with getting prescriptions filled; assesses cost and availability.
• Documents patient information and obtains outside records as needed.
• Engages family/community resources for emotional, social, and financial needs.
• Collaborates with social services for financial management, entitlements, and referrals.

Skills

Interpersonal communication

Negotiation skills

Microsoft Office

Education

Bachelor’s degree in Healthcare Management

Associate’s degree in Healthcare Management

High school diploma or equivalent

Bachelor’s degree in Healthcare Management or Public Health

Job description

WVUH West Virginia University Hospitals in Morgantown seeks a healthcare coordinator to serve as the primary contact for patients, coordinate scheduling, and help navigate payer requirements. You will analyze market data to identify payer mix, educate staff on payor regulations, and collaborate with social services to secure financial assistance and resources for patients.

This full-time position offers a 40-hour week in a clinical/office setting with opportunities to make a tangible impact on