Specialty Navigator II

About the role

This role involves reviewing complex referral requests and assigning appropriate specialists. Key responsibilities include understanding patient needs, coordinating care, and communicating with patients and providers.

Responsibilities

• Reviews referral information from clinicians for pertinent details.
• Evaluates and assigns appropriate specialists for patients.
• Interviews patients to gather full understanding of referral requests.
• Works closely with Specialty Nurses for safe clinical handoffs.
• Schedules patients for tests, consultations, and procedures.
• Communicates with physicians and clinicians for authorization.
• Explains insurance benefits and options to patients.
• Assists in resolving billing and denied referral matters.
• Supports roles within the Navigator team.
• Participates in problem-solving activities.

Requirements

• High School Diploma/GED.
• 2+ years of scheduling experience in a medical office setting.
• Beginner level proficiency with MS Word, Excel, and Outlook.
• Resides in Massachusetts.
• Ability to work onsite 1 day per week at 1177 Boston Providence Hwy, Norwood, MA 02062.

Qualifications

• Experience working within the health care industry and with health care insurance.
• Experience working in a hospital, physician's office, or medical clinic setting.
• Previous experience with procedure scheduling.
• Previous experience with EPIC.
• A clerical or administrative support background.
• Knowledge of ICD-9 and CPT codes.

Skills

• Customer Service: Ability to provide high-level customer service.
• Decision Making: Ability to make decisions guided by general instructions.
• Problem Solving: Ability to address problems using analysis and interpretation.
• Independence of Action: Ability to prioritize and organize work within general guidelines.
• Written Communications: Ability to summarize and communicate moderately complex information.
• Oral Communications: Ability to comprehend and communicate complex verbally information.
• Knowledge: Full working knowledge of standard concepts, practices, procedures, and policies.
• Teamwork: Ability to work collaboratively in small teams.

Benefits

• Paid Time Off, including 8 Paid Holidays.
• Medical, Dental, Vision, Life & AD&D Insurance.
• Short-term and Long-term Disability coverage.
• 401(k) Savings Plan, Employee Stock Purchase Plan.
• Education Reimbursement.
• Employee Discounts.
• Employee Assistance Program.
• Employee Referral Bonus Program.
• Voluntary Benefits.

Pay

The hourly pay for this role ranges from $17.98 to $32.12 per hour based on full-time employment.

Schedule

Monday - Friday, 8:30am - 5pm

Location

Hybrid role, requires working onsite 1 day per week at 1177 Boston Providence Hwy, Norwood, MA 02062.