ACO Patient Navigator

POSITION SUMMARY

To support Hunt Regional Medical Partners' multi-specialty practice in a clinical and administrative capacity. Employee will be proficient in all areas of responsibility, with minimal supervision and oversight required

POSITION SUPERVISORY RESPONSIBILITIES

• Reports To: ACO Coordinator, Hunt Regional Outpatient Clinic ACO
• Supervises: None

POSITION REQUIREMENTS

• Minimum Education: High school diploma or equivalent
• Minimum Work Experience: Certified Medical Assistant preferred or at least 3 years experience
• Required Licenses/Certifications
• Required Skills, Knowledge, and Abilities: Will possess excellent verbal/communication skills; Possess the ability to resolve conflict; Possess excellent listening skills; Solid Computer Skills; Solid Customer Service Skills; Ability to Multitask; Solid Organization Skills; Experience in Medical Office Environment; Ability to Work in Fast Paced, Busy Environment; Employee must abide by all policies and procedures as outlined by Hunt Regional Medical Partners and Hunt Regional Healthcare
• Preferred Qualification: Certified Medical Assistant preferred or at least 3 years experience

PHYSICAL REQUIREMENTS

• Medical Office Environment. Requires prolonged standing and walking. Frequent stooping and/or bending. May involve lifting or positioning of patients. Requires Corrected vision and hearing to normal range. May be exposed to communicable diseases and bodily fluids. Requires the ability to sustain concentration in a noisy and fast paced environment. This position requires a willingness to work well with others and to always demonstrate courtesy, professionalism and compassion.

JOB SPECIFIC FUNCTIONS

• Demonstrates an understanding of and adherence to the HMHD Compliance Plan.
• Conduct reflects HMHD's values and a commitment to HMHD's Code of Conduct.
• Attends the required corporate integrity and compliance training and education programs.
• Demonstrates proficiency in understanding the materials presented during the corporate integrity and compliance training and education program.
• Complies with all HIPAA standards.
• • Chart preparation: Review Medicare annual wellness questionnaire and screening questions; Review ADLs; Gather screening information (mammogram, colonoscopy, flu shots, diabetic eye exams, etc...) and enter dates in patient health record to meet quality measure
• Identify social determinants of health and ADL needs of patient by contacting patient by phone (Communicate the needs to RN case manager)
• Review clinical chart by identifying open gaps and gathering information needed from the patient to close them
• Call patients to schedule annual wellness visit for all family practice clinics
• Assist all clinical staff in all clinics with obtaining pre-authorizations for medications, imaging tests, procedures, etc.
• Aid patients with updating PCP and coordination of benefits with insurance company
• Document reported information by patient in medical record appropriately
• Notify case manager of abnormal test results
• Excellent communication skills. Ability to communicate effectively with patients, patient's family, and clinical staff
• Excellent telephone etiquette
• Print attestation forms and facesheets. Complete required information and prepare to send to clinic for completion by provider
• Data Entry of Demographic and Clinical Information into HRMP System(s)
• Referral Coordination, both outgoing and incoming
• Strong knowledge of anatomy, physiology, and medical terminology
• Manage office telephone systems, including answering calls and returning messages
• Scheduling patient appointments (new and established patients) and maintaining communication to confirm future appointments (includes knowledge of proper HER patient registration process)
• Performing data entry tasks to document patient records within facility databases and maintaining patient files
• Coordinating daily office activities, greeting patients and checking patients in and out for their appointments
• Eligibility and benefits
• Authorization and pre-certification of procedures and medications
• Scan documents into EHR
• Index scanned documents
• Prepare documents for transmission to external entities via fax, mail, and other

Benefits

• Health insurance

Additional Details

• City: Greenville
• State: Alabama
• Country: US