Patient Navigator
- Full-Time
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
Address
Ortho Rhode Island
Providence, RIIndustry
Healthcare
Posted date
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