Specialty Services Patient Navigator, Wound Clinic (PRN)
US-MI-Escanaba
External Apply Portal
Req #: 96244
Type: Limited
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Overview: Comprehensive benefits package -Per Diems are eligible for the 401k with 5% match, Tuition Reimbursement and more! Great work-life balance -No nights, weekends or holidays POSITION SUMMARY: The Specialty Services Patient Navigator is responsible for being a dedicated point of contact to support patients through the health system for labs, procedures, office visits and exams, radiology studies, specialty referrals, insurance pre-certifications and authorizations for medications and appointments, completing insurance appeals, coordinating care with social support services and assisting with financial assistance for pharmaceutical and charity care programs. Acts as a liaison between insurance companies and patients by initiating financial counseling prior to service when coverage/authorization problems are identified. The Specialty Services Patient Navigator is dedicated to elevating the patient experience through their care journey. Qualifications: REQUIRED QUALIFICATIONS: * Education: High School Diploma/GED * Experience: * 1 year experience in healthcare financial services, insurance authorization, insurance verification, appeals, billing, registration or MOA/CMA role. * 1 year experience with electronic medical record systems. * 1 year experience of reading, analyzing and extracting documentation in patient medical charts to complete pre-certifications, pharmaceutical authorizations, procedure and testing authorizations, and the insurance appeals. * Other Skills/ Knowledge: Excellent interpersonal and communication skills. Solid computer skills, including proficiency with Microsoft software. Strong analytical and problem-solving skills, with the ability to be detail oriented. PREFERRED QUALIFICATIONS: * Education: Associate degree in healthcare or business * Experience: * 2 years' experience pre-certification/prior authorization procedures, advanced medical terminology, reimbursement and regulatory issues, insurance functions and terminology, and utilization of charity care programs. * 3 years' experience in a healthcare setting with working knowledge of insurance and appeals experience related to denials management. Experience with heavy phone work. * Licensure/ Certification: Nationally recognized Revenue Cycle certification. OSF HealthCare is an Equal Opportunity Employer.
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