Senior Patient Navigator: Complex Procedures & Eligibility

Kuresmart; Pensacola (FL); On-site; USD 22,000 - 33,000; Full time

Job summary

Kuresmart in Pensacola, FL seeks a Patient Navigator II to manage complex procedures, verify eligibility, and coordinate scheduling across teams. You will act as a senior liaison among scheduling, eligibility, providers, and operations while upholding HIPAA standards.

Responsibilities include calling patients for planned procedures, resolving discrepancies with the offshore eligibility team, confirming benefits, explaining costs, and finalizing appointments.

Qualifications

• High School Diploma or equivalent; 3+ years related experience is preferred.
• Proficient with Internet and Microsoft Office suite (Word, Excel, PowerPoint, Outlook).
• Experience making outbound calls using VOIP software; exceptional written and verbal communication.
• Ability to build effective working relationships with doctors, staff, and the public; teamwork skills.

Responsibilities

• Conduct mandatory introductory calls to patients for all assigned procedures.
• Serve as onshore liaison to offshore eligibility and pre-certification team; review eligibility findings and resolve discrepancies.
• Provide eligibility confirmation support when discrepancies or escalations arise; back up for same-day or Medicare add-on procedures.
• Complete mandatory calls within SLA; communicate authorization status and timelines; explain costs and collect deposits.
• Document communications, escalate issues per policy, and coordinate with clinical teams for case disposition.

Skills

Communication skills

Customer service

Multitasking

Attention to detail

Education

High School Diploma or equivalent

Tools

MS Word

MS Excel

MS PowerPoint

MS Outlook

VOIP

Job description

Kuresmart in Pensacola, FL seeks a Patient Navigator II to manage complex procedures, verify eligibility, and coordinate scheduling across teams. You will act as a senior liaison among scheduling, eligibility, providers, and operations while upholding HIPAA standards.

Responsibilities include calling patients for planned procedures, resolving discrepancies with the offshore eligibility team, confirming benefits, explaining costs, and finalizing appointments.