Experience, Education, Training, Special Skills, and Licensure : High school diploma plus one year administrative experience. Job Function : Scheduling Accurately registers patients in EPIC and assists with My. Chart activation. Schedules all pre-screening tests for patients including lab work, EKG, CXR, cardiac clearance, GI clearance and PCP clearance. Requests patient records from other physicians and secures all orders for patients and ensures testing is complete and results are obtained. Se... more details
Job Title : Patient Navigator 2 Job Summary :Experience, Education, Training, Special Skills, and Licensure :
High school diploma plus one year administrative experience.
Job Function :
Scheduling
Accurately registers patients in EPIC and assists with MyChart activation.
Schedules all pre-screening tests for patients including lab work, EKG, CXR, cardiac clearance, GI clearance and PCP clearance.
Requests patient records from other physicians and secures all orders for patients and ensures testing is complete and results are obtained.
Sends orders to the designated places for the patient to be contacted by that facility to schedule the patients’ appointments.
Schedules patients for surgery, pre-ops with surgeon, and pre-ops with hospital collects any payments, gathers completed surgery orders, H&P, consents, & medical history to scan or fax to the required facility.
Updates surgery board in clinic and communicate to provider if any rescheduling needs to happen.
Educates patient about surgical procedure, post op instructions and follow up that is needed.
Coordination and Customer Service
Submits everything to the insurance for prior authorization, (Letter of Medical Necessity which includes patient's medical history and past diet attempts, History & Physical, Pre-screening Test results and any additional records.),
Responsible for continuous follow up calls to the insurance companies until authorization has been given, if authorization is denied we then start the appeals process.
Takes messages from the patients that call with any post-operative concerns which are then given to the surgeon/ provider for review, then follows up with patient with surgeons recommendations
Attends all huddles and staff meetings.
Is also responsible for Check in /check out process at front desk, payment /cash collection process and answering calls. Cash is maintained in a secure manner and follows the established Policies and procedures to ensure payments are credited to accounts.
Meets collection goals and other organizational goals.
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