Patient Navigator - Adult Thoracic Surgery

Baton Rouge Health District; Baton Rouge, Northern (LA, KY); Hybride; USD 42 000 - 62 000; Plein temps

Résumé du poste

FMOL Health is seeking a Patient Navigator for the Adult Thoracic Surgery team. You will guide identified patients through the care process, coordinate between the clinic and hospital, and handle scheduling, registrations, and billing while delivering excellent service.

You will inform patients about pre-op workups, follow-ups, and insurance requirements, and collaborate with providers to ensure smooth care. Strong admin experience in a physician practice is required.

Qualifications

• Experience - 3 years administrative experience in a physician practice.
• Registration, scheduling, insurance and billing experience.

Responsabilités

• Schedules clinic appointments according to established procedures.
• Coordinates care among providers and hospital for patient care; schedules pre-op testing and related activities.
• Informs patients about the care process, workup, post-op period and follow-up to aid informed decisions.
• Gathers tests results and presents to the physician for review; contacts patients with abnormal results.
• Manages patient accounts and facilitates payment options with insurance.
• Verifies insurance eligibility and secures pre-authorizations/referrals.
• Collects payments and coordinates appeals as needed.

Connaissances

Administrative experience

Communication

Customer service

Description du poste

Patient Navigator - Adult Thoracic Surgery

Job Description

The Patient Navigator collaboratively supports and guides an identified patient population through the process of receiving care within a designated specialty. Coordinates the flow of patient care between the practice and other healthcare providers across the continuum of care. Performs various administrative functions, including registration, scheduling, billing, and precertification/authorizations, while conveying a positive image of the clinic and providing excellent customer service.

Responsibilities

• Schedules appointments within clinic according to established procedures.
• Facilitates coordination among all providers and hospital for patient care. Schedules pre-operative testing, lab workups, assessments, clearances, etc. and works with patient to assure completion.
• Informs patients about the care process including workup, post-operative period and follow-up, to facilitate efficient and effective care. Enables informed patient decision-making by providing knowledge and education on the bariatric process and assesses patient understanding; works interactively with all providers involved in the patients care to ensure comprehension.
• Gathers all tests results and presents to the physician for review. Contacts the patient with any abnormal tests results for continued testing if needed.
• Schedules patients follow up appointments after procedure is completed, both within clinic and with other providers as needed.
• Takes patient calls, assesses situation and determines necessity and urgency for appointment based on status; communicates with physician and/or other providers as needed to provide best care.
• Patient Accounts and Access
• Serves as resource and liaison between patient, clinic and insurance companies to facilitate understanding of payment options.
• Requests records from external sources as needed. Completes and submits all paperwork effectively to minimize delays and/or denials, while adhering to all applicable regulations.
• Performs insurance verification/eligibility; secures pre-authorizations and/or referrals effectively.
• Estimates cost of service and the patients' responsibility, analyzes and documents the patients' account history and assists patients with financial assistance and referrals within scope of practice.
• Collects payments from patient, insurance company, or other sources as appropriate. Coordinates appeals process as necessary or appropriate.
• Other duties as assigned.
• Facilitates support groups as needed or assigned.
• Assists in the development and maintenance of educational programs to practice team members, medical staff, community or others to further the provision of exceptional care.
• Implements policies and practices, and provides input into performance improvement ideas, particular to the scope of care provided for this specific patient population. Identifies problems and facilities solutions; communicates findings and suggestions.
• Acknowledges patient and family values in all aspects of their care and models behaviors to other team members both within and outside of practice.
• Monitors the expenditures of the practice. Maintains expenditures within budget guidelines to include volume.
• Obtains and maintains high level of information and expertise regarding specific patient population and procedural specialty.

Qualifications

Experience - 3 years administrative experience in a physician practice providing a designated procedural specialty, including registration, scheduling, insurance, and billing

FMOL Health team members will only communicate with job applicants using official @fmolhs.org email addresses. If you receive any message regarding job opportunities or your application from a non @fmolhs.org email address, do not respond and report the message as phishing / spam and delete it.

• Job Identification 48883
• Job Category Operations
• Job Shift Day
• Job Function Clinical Operations
• Worker Type Employee
• Regular or Temporary Regular
• Requisition Schedule Full-Time
• Hours of Schedule (e.g. M-F 8a-5p) 7:30am-4:00pm
• Department Adult Thoracic Surgery-OLOLPG Thoracic Surgery
• FMOLHS Company Code Our Lady of the Lake Physician Group LLC

FMOL Health team members will only communicate with job applicants using [e-mail] addresses. If you receive any message regarding job opportunities or your application from [e-mail] address, do not respondand report the message as phishing / spam and delete it.