Patient Navigator 2

Job Summary

Provides support to all intensive services at Langley Porter Psychiatric Hospital- UCSF Health, including Inpatient, Partial Hospitalization, Intensive Outpatient Program, consult Liaison, and Electroconvulsive Therapy. Responsible for reception, registration, insurance verification, financial information, and patient processing.

Responsibilities

• Patient Navigation and Processing:
  • Communicates LPPHC administrative and financial policies clearly to patients.
  • Addresses patient complaints related to billing and insurance.
  • Verifies insurance benefits and coverage.
  • Secures prior authorizations for procedures and ancillary services.
  • Collects and verifies insurance and referral/authorization information.
  • Works with work queues to secure estimate letters and respond to denials.
  • Coordinates with Hospital Admissions Department for complex insurance authorizations.
• Patient Information and Coordination:
  • Manages patient expectations by providing insurance QOB guidelines.
  • Obtains appropriate consents and documents at first visit.
  • Maintains a professional and positive first impression.
  • Adheres to patient confidentiality and HIPAA guidelines.
• General Patient Navigator Tasks:
  • Liaises between patients and services.
  • Coordinates care among various services.
  • Traiges urgent matters and follows up with patients.
  • Maintains good working relationships with staff and patients.
• Utilization Review Tasks:
  • Communicates with third-party payers for authorization of care.
  • Facilitates clinical denial and appeal processes.
  • Documents all communications with payers and clinicians.
  • Coordinates clinical and non-clinical resources based on patients' diagnoses.
  • Identifies patients' preferences and barriers to treatment plans.

Qualifications

• One year related experience.
• Bachelor's degree in related area or equivalent experience/training.

Additional Information

This position requires flexibility to work at all UCSF Medical Center locations.

Employees who routinely provide direct patient care must demonstrate the ability to provide appropriate care based on the needs of a specific individual, including the patient’s age.

The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law.

Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF.