Care Navigator

Axia Women's Health is the nation’s largest community-based, integrated women’s health network in the United States, serving women throughout New Jersey, Pennsylvania, Indiana, and Kentucky. The organization brings together over 400 providers across nearly 150 locations and focuses on OB/GYN care, breast health, high-risk pregnancy, urogynecology, behavioral health, and fertility. Axia consistently strives to provide a caring, connected, and progressive health‑care experience, positioning itself as the #1 Physician Practice for Women’s Health by Castle Connolly and a Great Place to Work for five consecutive years. Job Details The Care Navigator empowers patients on their healthcare journey, 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 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 Operating Procedures (SOPs) 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 the organization’s mission, vision, and values by embodying its principles in daily activities; uphold high standards of ethical behavior, integrity, and professionalism. Other duties as assigned. Skills Excellent customer service skills, including written and verbal communication. Ability to handle high call volume productively and know when to escale issues. Ability to multitask and work in a fast‑paced environment. Compassionate and empathetic attitude toward patients. Demonstrated time‑management skills by efficiently prioritizing tasks and patients simultaneously. Professionalism, 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 & 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 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 paid time off and additional time off for volunteering. Choice of multiple medical insurance plans. 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. Discounts on hotels, theme parks, gym memberships, and more through the Great Works Perks Program. Additional 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 colleagues and patients feel empowered to be their full, authentic selves. We welcome all individuals—without regard to gender, race, ethnicity, ability, or sexual orientation—and proudly celebrate our unique 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. #J-18808-Ljbffr Axia Women's Health