Care Navigator

400 Cresson Blvd Suite 107, 200, 204, 308 & 310 Upper Providence Twp, PA 19460, USA Pay or shift range: $18 USD to $22 USD The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons. Description AxiaWomen's Health is the nation’s largest community-based, integrated women's health network in the country serving women throughout New Jersey, Pennsylvania, Indiana, and Kentucky. At its core, Axia Women's Health is a community of over 400 providers across nearly 150 locations committed to providing a more caring, connected, and progressive health care experience for women. Its rapidly growing network spans OB/GYN care, breast health, high-risk pregnancy care, urogynecology care, behavioral health, and fertility. Together, Axia Women's Health puts women first by delivering the personalized care needed for women to lead healthier, happier lives. Axia Women's Health has been recognized as the #1 Physician Practice for Women's Health by Castle Connolly and certified as a Great Place to Work for five consecutive years. Learn more at Axia Center for Healthy Living is committed to the pillars of wellness including nutrition, physical activity, stress management and sleep through a stepwise approach to develop new life habits. The Care Navigator empowers Axia Women's Health's patients on their healthcare journey while playing a vital role in delivering seamless and positive experiences for all patients at Axia Women's Health. With exceptional customer service and communication skills, the Care Navigator is a key resource for scheduling, modifying appointments and providing Axia patients with the support they need. Essential Functions Utilize professional and courteous communication to greet patients when answering phone calls and responding to their inquiries. Review and manage recall appointments and no show/cancellation reports. Promptly and professionally route phone calls to appropriate personnel via direct transfer, paging, voicemail, or redirect as needed. Retrieve and appropriately route any messages from the answering service. Perform registration functions for new or existing patients and activate patient files. Effectively collect and record copayments as required. Provide advanced financial support to patients and colleagues regarding claim and billing inquiries. Retrieve and process prior authorizations. Verify patient insurance eligibility and clearly communicate benefit limitations. Assist with scheduling patient appointments, follow-up visits, and care coordination. Ensure accurate and detailed documentation of patient encounters. Provide additional support to patients and medical staff as needed. Work collaboratively with clinical colleagues, management, and other staff to ensure efficient practice operations. Ensure compliance with all Standard Operation Procedures (SOP's) and policies (including HIPAA & OSHA). Adhere to practice policies, procedures, and protocols. Participate in team meetings and contribute to quality improvement initiatives. Demonstrate commitment to organization's mission, vision, and values by embodying its principles in daily activities. Uphold high standards of ethical behavior, integrity, and professionalism. Actively contribute to creating a positive work environment that aligns with the organization's goals and objectives. Other duties as assigned. Skills Excellent customer service skills that include written and verbal communication. Ability to handle high call volume in a productive manner and know when to elevate issues. Ability to multitask and work in a fast-paced environment. Compassionate and empathetic attitude towards patients. Demonstrate time management skills by efficiently prioritizing tasks and patients simultaneously. Demonstrate professionalism, a high quality of work, collaboration, goal attainment, attention to detail, self-motivation, and productivity in a remote capacity. Proven ability to work collaboratively within a team environment. Highly adaptable and willing to adjust to changing priorities and conditions. Experience and Education High School Diploma or equivalent required. Minimum 1-2 years of customer service experience. Call Center experience preferred, but not required. Computer proficiency, including programs such as MS Office, Word, Excel, email and internet research. Knowledge of HIPAA and Insurance Payors. Experience navigating healthcare insurance operations, including benefit verification, prior authorizations, referrals and patient collection. Medical Receptionist/PSR experience preferred. Experience with electronic health records (EHR) systems preferred, but not required. Full Time Benefits Summary Full time benefit-eligibility beginning the first of the month after hire. 401(k) with company match. Generous PTO offering with additional time off for volunteering. Choice of multiple medical insurance plans to best meet your needs. Access to Axia providers at little to no cost through Axia’s medical insurance. Axia-paid life insurance, short term and long term disability. Free counseling for colleagues and family members, including parents and parents-in-law. Access to discount on Hotels, Theme Parks, Gym Memberships, and more through the Great Works Perks Program. Additional insurance options including dental, vision, supplemental life insurance, FSA, HSA with employer contribution, identity theft, long term care, pet insurance and more. At Axia Women's Health, we’re passionate about creating a community where our colleagues and patients feel empowered to be their full, authentic selves. We welcome all individuals – without regards to gender, race, ethnicity, ability, or sexual orientation – and proudly celebrate our individual experiences and differences. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. Applicants must be currently authorized to work in the United States on a full-time basis. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr