Senior Patient Care & Eligibility Navigator

cwpnonproviders; Annapolis (MD); On-site; USD 26,000 - 29,000; Full time

Benefits offered by this job

PTO 96 hrs

Holidays

401(k) match

Health benefits

Disability insurance

Life/AD&D

Employee Assistance Program

Job summary

cwpnonproviders is seeking a Patient Navigator II to manage complex procedures and act as a senior liaison across scheduling, eligibility, providers, and operations. You will conduct introductory patient calls, review eligibility findings, and assist in resolving escalations to ensure timely scheduling.

The role requires strong communication, knowledge of CPT/ICD-10 coding, and familiarity with EMR systems.

Qualifications

• High School Diploma or equivalent with 3 years related experience.
• Knowledge of Internet and Microsoft Office.
• VOIP calling experience.
• Excellent written and oral communication skills; strong customer service.
• Ability to work independently and in a team.
• Flexible schedule; HIPAA compliance.

Responsibilities

• Conduct introductory calls to patients for all assigned procedures.
• Serve as onshore liaison to offshore eligibility and pre-cert team.
• Review eligibility and authorization findings; resolve discrepancies.
• Provide eligibility confirmation support during discrepancies or escalations.
• Back up for same-day, emergency, or Medicare add-on procedures.
• Complete mandatory calls within SLA and explain costs/deposits.
• Document communications and escalate patient fallout when needed.
• Collaborate with offshore eligibility team to resolve discrepancies.
• Conduct first-level retention conversations and educate patients on insurance and process.
• Coordinate handoff to Office Manager or VP of Operations for final disposition.
• Maintain confidentiality per HIPAA and respond to emails regularly.
• Participate in trainings and other duties as assigned.

Skills

Communication

Outbound calls

HIPAA

Microsoft Office

Customer service

Multi-tasking

Problem solving

Attention to detail

CPT/ICD-10 knowledge

Education

High School Diploma or equivalent

3 years related experience

Tools

MS Word

MS Excel

MS PowerPoint

MS Outlook

VOIP

Job description

cwpnonproviders is seeking a Patient Navigator II to manage complex procedures and act as a senior liaison across scheduling, eligibility, providers, and operations. You will conduct introductory patient calls, review eligibility findings, and assist in resolving escalations to ensure timely scheduling.

The role requires strong communication, knowledge of CPT/ICD-10 coding, and familiarity with EMR systems.