Treatment Navigator - Part Time (63055)

Union Community Care; Lancaster (Lancaster County); On-site; USD 25,000 - 39,000; Full time

Job summary

Union Community Care is seeking a Treatment Navigator at our Lancaster, PA site to deliver exceptional patient registration, scheduling, and financial guidance. You will explain treatment options, review insurance benefits (including prior authorizations), and assist with payments while collaborating with the dental care team.

The role requires strong communication, customer service, and scheduling skills, with HIPAA compliance and bilingual abilities being a plus.

Qualifications

• High School Diploma or G.E.D. required
• Excellent communication and customer service skills
• Familiarity with computer systems and scheduling software
• Ability to explain procedures and costs clearly to patients
• Ability to verify insurance benefits and obtain authorizations

Responsibilities

• Welcomes patients and visitors to create a superb care experience.
• Handles telephone inquiries and assists patients seeking access or help.
• Checks in patients, updates demographics, and maintains accurate EHR data.
• Verifies insurance eligibility, benefits, and collects copays/balances.
• Offers Sliding Fee Discount program when appropriate and explains payment options.
• Prepares daily reports and reconciles cash with registration procedures.
• Schedules and reschedules treatment appointments and coordinates with preauthorizations.
• Communicates with team and patients to ensure treatment plans are followed within approved timelines.

Skills

Communication skills

Computer literacy

Customer service

Telephone skills

Organizational skills

Problem solving

Scheduling

Team player

HIPAA compliance

Mathematics basics

Plain language explanations

English proficiency

Bilingual

Education

High School Diploma or G.E.D.

Job description

Job DetailsJob Location: Administration - Lancaster, PA 17602

Our Mission, Vision, & Model of Care

At Union Community Care, our purpose is at the forefront of all that we do: we stand for whole health to help you live your fullest life.

We envision vibrant and healthy communities supported by inclusive healthcare that embraces each member’s unique culture, needs, and values, and emboldens them to make healthful choices that fuel their well‑being and the well‑being of others.

We believe in whole health. This means we address and heal disease but equally important, we work at the causes of the causes, the social ills that must be addressed to achieve true equity.

We listen, learn, and embrace the complex lives and unique strengths of our patients, and we work hard to break down all barriers to care. This means we look through a grassroots lens. We connect with our communities because we are our communities. Each of us is a neighbor, a friend, a family member, and together, we are a trusted community health center.

QualificationsJOB SUMMARY

JOB SUMMARY

The Treatment Navigator’s are responsible for delivery of excellent customer service, accurately and efficiently performing patient registration, appointment scheduling and clearly explain treatment plan options and related costs to patients. Treatment Navigators ensure patients understand their treatment plan, insurance benefits (including prior authorizations), review and discuss fees with patient along with assisting with financial arrangements and coordination of appointments.

SPECIFIC JOB DUTIES

• Ensures all patients and visitors feel warmly welcomed at all sites. Set the tone for a superb care experience.
• Provides superior telephone customer service for patients seeking access or assistance by answering phones professionally and knowledgeably.
• Performs patient check-in ensuring that all consents are current, patient account is current, and all demographic data is up to date and accurate in the EHR.
• Verifies and maintains all patient demographic, insurance eligibility and benefits and collects all copays/balances
• Offers Sliding Fee Discount to all patients, understands and applies the program as needed
• Prepares daily batch report and reconciles cash drawer using the registration closing procedure
• Preforms daily importing and scanning of necessary paperwork and forms, labels and routes documents to the appropriate recipient in Athena, deletes duplicate documents and cover sheets
• Schedules all patient treatment appointments, reschedules patients that miss their appointments and call patients that have not completed treatment and/or payments (HRPREPAY).
• Coordinates patient appointments to align with Preauthorization/BLE’S and TreatmentPlans.
• Ensures that all Preauthorizations and BLEs …..
• Communicates with the team and patient to ensure treatment plan work is completed within the authorized period.
• Communicates with the team and patients when appointments need rescheduling to ensure work is complete within authorized period.
• Ensures that all authorizations are in place prior to patient appointment and communicates with the team if appointment changes need to occur to ensure preauthorization is in place.
• Completes and communicates with patient the Good Faith Estimate and ensures payment prior to treatment.
• Assist patient with financial arrangements.
• Ensure patients understand their treatment plan and coordinates with the Dental Care Team and patient to address any barriers to the patient completing the treatment plan.
• Reviews Dental Benefits with patients as needed.
• Fields questions from team members, patients and insurance companies, research answers, and then follows up.
• Creates payment plans with patients that follow the guidelines established by Union Community Care.
• Run Eligibility and Benefits on patients with upcoming appointments (2 days out)
• Contacts patients and/or insurance companies for updated information
• Performs other work-related duties as assigned.

SPECIFIC JOB DUTIES- Treatment Navigator Coach

• Performs all duties of Treatment Navigator
• WorkswithTreatmentNavigatorstoresearch appropriate workflows
• Assists with errors
• Keeps ongoing knowledge of current Insurance guidelines and educates TreatmentNavigators
• Responsible for Training of Treatment Navigators
• Floats to sites to cover call offs and PTO
• ReceptionistforUnion’sAdminBuilding

SPECIFIC JOB DUTIES- Treatment Navigator Lead

• Performs all duties of Treatment Navigator Lead
• WorkswithDirectorofBillingtomaximize potential revenue loss based onourunique services and providers
• WorkswithDirectorofBilling and Directorof Dentaltomaximize department efficiency
• Responsible for Supervision of Treatment Navigators

JOB REQUIREMENTS

To perform this job successfully, an individual must be able to perform all duties satisfactorily. The requirements listed below are representative of knowledge, skill, and/or ability required.

• High School Diploma or G.E.D.
• Excellent communication skills
• Familiarity with computer systems
• Excellent Customer service skills
• Excellent telephone skills
• Organizational skills
• Creative problem- solving skills
• Keen understanding of scheduling
• Strong team player & Ability to work well with others
• Compliance with HIPPA regulations
• Basic mathematic skills
• Ability to describe procedures in simple language
• English proficiency required
• Bilingual preferred

ESSENTIAL FUNCTIONS

To fulfill the requirements of this position, duties 1-22 are considered essential functions of the job.

ORGANIZATIONAL INVOLVEMENT

This position is required to participate in mandatory all staff meetings, team meetings and trainings.