Patient Navigator

Ortho Rhode Island is a world-class group of talented providers and professionals, all working together to offer value and quality in everything we do. Each Ortho Rhode Island team member is dedicated to thinking like a patient, and to offering the best experience in our industry, driven by our core values: delivering on our word, respecting each other, innovating in orthopedics, valuing every individual, and engaging our community.

The Vision of Patient Navigator program is the essential link in providing a team-based approach to patient care and an exceptional patient experience. The Patient Navigator will emphasize highly personalized care and help patients surpass barriers to healthcare by improving the patient/provider relationship.

Duties and Responsibilities include but are not limited to:

• Welcomes patients by greeting them, in person or on the telephone, answering or referring to inquiries.
• Prepares patients for the health care visit by accompanying them to exam room; providing exam gowns; arranging examining room instruments, supplies, and equipment to create an exceptional patient experience.
• Preparing patient charts prior to patient arrival
• Knowledgeable of check in software
• Assist providers in the treatment of patients by obtaining histories and vitals, preparing injections, setting up sterile fields, suture removal, dressing changes.
• Verifying patient’s medical record is complete and accurate for medical coding purposes.
• Triage patient calls and physician messages
• Process and fulfill physician approved prescription requests.
• Obtain authorizations for prescriptions.
• Maintain exams rooms with adequate medical supplies and sterilization as required.
• Completing forms such as (but not limited to): TDI/FMLA and Work Notes
• Scheduling follow up appointments, initial therapy visits, and MRI appointments.
• Obtain prior authorizations as needed for advanced imaging studies and specialty injections as assigned.
• Advise patients on any co-payment or co-insurance prior to in office procedures.
• Update patient of authorization status and confirm receipt of specialty injection or imaging study being sent to facilities outside of ORI.
• Send referrals to specialists and pain centers as ordered by the physician.
• Remain accountable and follow through on all commitments made to patients.
• Compliance with HIPAA and OSHA regulations
• Other duties may be assigned as necessary.

Performance Requirements:

Knowledge:

• Excellent computer skills
• EMR Systems
• Practice Management System
• Microsoft Suite (including Outlook, Word, Excel, Calendar)
• Phone Software
• Check-In Software
• Basic knowledge of insurance plans and referral requirements
• Knowledge of estimated co-payment and co-insurance
• Navigating Insurance Authorization websites
• Clinical knowledge, injections, DME, and Casting
• General understanding of processing legal forms (i.e. TDI, FMLA, etc.)
• Effectively communicate tasks or projects to team members
• Ability to collaborate with supervisory teams and administrators on projects or assigned tasks.

Skills:

• Familiarity and follow through with all HIPAA compliance.
• Attention to detail.
• Self-motivated, showing initiative to tackle important issues, problems, and tasks.

Abilities:

• Embracing ORI’s mission and vision through friendly and patient-oriented service
• Demonstrate excellent teamwork, organizational, and communication skills.
• Adheres to processes, while looking for opportunities for innovation and improvement
• Critical thinking skills and deliberate decision making.
• Able to work at a fast pace, while demonstrating patience with patients
• Adheres to processes, while looking for opportunities for innovation and improvement
• Assertive

Work Environment:

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets.

Physical Demands:

• Requires mobility, frequent walking, standing, and sitting, some bending, stooping, and stretching and periodic lifting of up to 50 lbs.
• While performing the duties of this job, the employee is regularly required to converse and hear.
• Requires normal (corrected) vision.
• Requires coordination and manual dexterity sufficient to operate office equipment.

Position Type and Expected Hours of Work:

This is a full-time, Monday through Friday position. Shifts will be assigned in advance but may vary depending on the Company Schedule. The hours will typically range from 7:00 am to 5:30 pm and may be subject to change based upon access requirements at locations.

Travel:
No overnight travel is expected for this position. There may be occasional local day travel to Company Divisions.

Required Education and Experience

• High School Graduate or equivalent
• Formal training as a medical assistant or certification as a medical assistant (preferred).
• Any combination of education, training, and experience that demonstrates the ability to perform the duties of the position.
• Experience with Electronic Medical Records