Patient Access Representative (Patient Navigator)

Spectraforce

Lincoln Heights, California


a month ago

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Job Description

Job Title: Patient Navigator
Location: Los Angeles, CA , 90020
Duration: 5 months (13 weeks per PCC approval)
Pay Rate: $25/hr
Work hours: M-F 8:30AM-5:00PM

 
Description
  • The Patient Navigator assists with all aspects of patient care.  
  • From new patient registration, scheduling and Confirming appointments to assisting in scheduling ancillary services, such as radiology studies, Port-a-Catheter placement. 
  • The navigator will be responsible for uploading all necessary records and/or imaging ensure the  submission of authorizations for services. 
  • The navigator will document accurate insurance information and discuss financial responsibility and benefit information with guests. 
  • The navigator will be responsible for working closely with the Los Angeles team to accurately adjudicate Letters of Agreement and/or assist the guest with any financial concerns.  
  • Takes accountability for the patients' beginning-to-end experience regardless of their needs.  
  • Assists patients in eliminating barriers to care by referring to community resources and/or appropriate staff members.  
  • Assists multiple providers in ensuring that patients have access to the services needed in a timely manner and will be available to support providers or guest at locations necessary.  
  • The patient experience is the primary focus for this position and as a Patient Navigator, all patient needs of the individual are met with customer service excellence and KNOWN standards of ethical care.  
  • The patient navigator commits to and believes in the "The client Commitment" of values and fairness. This position will report and escalate any concerns to the Administrative Clinic Manager.
Education Qualifications:
  • Required: High school or equivalent
  • Preferred: Bachelor's degree - Degree in a related field
Experience Required:
2 years Experience in acute care or ambulatory care setting is Preferred.

Knowledge, Skills and Abilities
Required 
  • Must be comfortable with computers and medical terminology.
  • In depth knowledge of all insurance types.
  • Must have excellent communication skills, including the ability to speak, read and write English proficiently.
Preferred 
  • Familiarity of word processing, Microsoft Outlook. Cerner, PBAR and scheduling software is preferred.
  • Knowledge of medical terminology preferred.
Job Accountabilities
Clerical  
  • Has thorough understanding and expertise in the use of computer systems, e.g. Cerner. 
  • Demonstrates accuracy and thoroughness in entering information into computer systems. 
  • Communicates thoroughly with patients in clear and concise language.
  • Accurate phone communication is imperative.
  • Obtaining required outside medical records, entering demographic information into computer system, providing, and booking appointments in Cerner, providing medical records to physician for review, verifying insurance and obtaining authorization for visits and procedures.  
  • Understanding how to check orders in Cerner and knowledge of various insurance types, changes in plans, updates, authorizations for treatment and injections.  
  • Schedules patient’s evaluation and clinic appointments in a timely manner, and at the request of the physician and or trainer, while accommodating patient’s needs.  
  • This includes but not limited to laboratories, diagnostic testing and consultations as needed.  
  • Fulfills other department scheduling functions per department procedures and protocols. 
  • Proactively manages student athlete schedule, and provide navigation services through Keck outpatient, ancillary and inpatient services to create a well-managed operational flow and positive patient experience. 
  • Gives proper patient instructions and communicates back to appropriate physicians.    
  • Coordinates scheduling of all services and diagnostic testing for patient which include sending any instructions to patients and compiles letters of medical necessity. 
  • Assists clinic with clerical and scheduling needs as required to assure business processes are set up correctly.
  • Work closely with business office counterpart to assure bills are directed to the correct insurance’s carrier – individual insurance, HMO/PPO, Medicare, Medicare Advantage and EPO insurances.  
  • Available to physicians, front office staff, or clinical personnel during business operation hours.     
  • Provides coverage as needed for the Navigator Team. Contacts and distributes messages to medical personnel and all staff using a variety of electronic messages including text, voice, and email systems. Reads and responds to email throughout the day.

Patient Navigation/Customer Service  
  • Utilizes courtesy, compassion, kindness and honesty while interacting with patients, care givers, and all clinic personnel. 
  • Always greets patients in a courteous and professional manner. 
  • Acts as a point of contact for patients and care takers.  Is held accountability for the patient experience on site and virtual.  
  • Provides information and guidance to patients regarding all areas of patient care.
  • This includes but not limited to scheduling, New Patient paperwork, and follow-up appointments. Provides appointment confirmation
  • Escorts patients to other departments if needed, provides directions to other departments within USC system. 
  • Works with patient as appropriate to refer to internal supportive care services:  dietician, social worker, financial counselor, etc.  
  • Educates and supports patients on ways to keep compliant with care instructions.
  • Assists patients to overcome barriers to care, e.g. transportation, coordination of translation services, financial assistance, etc. 
  • Facilitates communication between patient and caregivers, and all members of the care team, nurses, lab, pharmacy, etc.
  • Communicates all changes with patient and case information to all involved personnel. Works with various personnel to resolve issues and accommodate patient. 
  • Adheres to policies aimed to protect patient confidentiality.
Teamwork/Collaboration  
  • Demonstrates flexibility in in being available and working with other covering individuals.
  • Possesses ability to work independently and in a team setting. 
  • Maintains an open line of communication with management and other staff and always demonstrates a professional demeanor.
  • Involved with and keeps up to date of changes within the USC healthcare system, insurances, authorizations, and schedules for all clinic locations.
  • Performs other related duties as assigned.

Note: The Company is committed to complying with the California Consumer Privacy Act (“CCPA”) effective January 1, 2020; and all data privacy and laws in the jurisdictions in which it recruits and hires employees. A Notice to California Job Applicants Regarding the Collection of Personal Information can be located on our website. Applicants with disabilities may access this notice in an alternative format by contacting NAhr@spectraforce.com. 
  

About Us: Established in 2004, SPECTRAFORCE® is one of the largest and fastest-growing diversity-owned staffing firms in the US. The growth of our company is a direct result of our global client service delivery model that is powered by our state-of-the-art A.I. proprietary talent acquisition platform, robust ISO 9001:2015/ISO 27001 certified processes, and strong and passionate client engaged teams. We have built our business by providing talent and project-based solutions, including Contingent, Permanent, and Statement of Work (SOW) services to over 140 clients in the US, Canada, Puerto Rico, Costa Rica, and India. Key industries that we service include Technology, Financial Services, Life Sciences, Healthcare, Telecom, Retail, Utilities and Transportation. SPECTRAFORCE is built on a concept of “human connection,” defined by our branding attitude of NEWJOBPHORIA®, which is the excitement of bringing joy and freedom to the work lifestyle so our people and clients can reach their highest potential. Learn more at: http://www.spectraforce.com
 
Benefits: SPECTRAFORCE offers ACA compliant health benefits as well as dental, vision, accident, critical illness, voluntary life, and hospital indemnity insurances to eligible employees. Additional benefits offered to eligible employees include commuter benefits, 401K plan with matching, and a referral bonus program. SPECTRAFORCE provides unpaid leave as well as paid sick leave when required by law.

Equal Opportunity Employer: SPECTRAFORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at LOA@spectraforce.com if you require reasonable accommodation. 
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $25.00/monthly.