Care Navigator

This is a fully remote position, open to applicants in New Jersey.

📋 Description

• Employ professional and courteous communication to greet patients while handling phone calls and addressing their inquiries.

• Review and oversee recall appointments as well as manage no-show and cancellation reports.

• Efficiently and professionally direct phone calls to the appropriate personnel through direct transfer, paging, voicemail, or redirection as necessary.

• Retrieve and appropriately forward any messages received from the answering service.

• Carry out registration tasks for both new and existing patients, ensuring activation of patient files.

• Collect and accurately document copayments as required.

• Offer advanced financial assistance to patients and colleagues concerning claims and billing questions.

• Obtain and process prior authorizations as needed.

• Confirm patient insurance eligibility and effectively communicate any benefit limitations.

• Assist in scheduling patient appointments, follow-up visits, and coordinating care.

• Ensure precise and thorough documentation of patient interactions.

• Provide additional support to patients and medical staff when necessary.

• Collaborate with clinical colleagues, management, and other staff members to maintain efficient practice operations.

• Ensure compliance with all Standard Operating Procedures (SOPs) and policies, including HIPAA and OSHA regulations.

• Adhere to practice policies, procedures, and protocols diligently.

• Engage in team meetings and contribute to initiatives aimed at quality improvement.

• Demonstrate commitment to the organization's mission, vision, and values by embodying its principles in daily tasks.

• Maintain high standards of ethical behavior, integrity, and professionalism.

• Actively partake in fostering a positive work environment that aligns with the organization's goals and objectives.

• Perform other duties as assigned.

⛳️ Requirements

• High School Diploma or equivalent is required.

• Minimum of 1-2 years of customer service experience is necessary.

• Call Center experience is preferred, though not mandatory.

• Proficiency in computer applications, including MS Office, Word, Excel, email, and internet research.

• Understanding of HIPAA regulations and knowledge of Insurance Payors.

• Experience in navigating healthcare insurance operations, including benefit verification, prior authorizations, referrals, and patient collections.

• Prior experience as a Medical Receptionist/PSR is preferred.

• Familiarity with electronic health records (EHR) systems is preferred, but not a requirement.

🏝️ Benefits

• Full-time benefit eligibility begins on the first of the month following hire.

• 401(k) plan with company matching.

• Generous paid time off (PTO) with additional leave for volunteering opportunities.

• Selection of multiple medical insurance plans to best suit individual needs.

• Access to Axia providers at little to no cost through Axia’s medical insurance.

• Axia covers life insurance and both short-term and long-term disability.

• Complimentary counseling services for colleagues and family members, including parents and in-laws.

• Discounts on hotels, theme parks, gym memberships, and more through the Great Works Perks Program.

• Additional insurance options available, including dental, vision, supplemental life insurance, FSA, HSA with employer contribution, identity theft protection, long-term care, pet insurance, and more!