Patient Navigator

The Patient Navigator will help determine if patients qualify for assistance programs and insurance plans, assisting patients in completing applications for submission and tracking renewal dates for re-enrollment. This position also supports Clinic Reception, helping with Reception duties when needed.

• Assist individuals with health insurance enrollment applications.
• Assist Veterans and their families in navigating the benefits system provided by the VA.
• Assist with requesting/tracking RFS documents for VA patients.
• Works closely with Hospital Care Management on coordinating outside services needed for clinic patients.
• Assists patients in filling out applications for prescription assistance.
• • Works closely with Providers to complete their portion of the application on behalf of the patient.
  • Advocates for the patient when they have been denied assistance, and find other solutions for them; i.e.: low-income subsidy, Medicaid, Medicare, and multiple drug manufacturers.
  • Maintains records in the EHR of all patients, their needs, application renewals, and required refill dates.
  • Receives all medications for patient assistance that come through BCH/SMFM and notify the patient when medication is available.
• Works with Clinic Assistant/Nursing staff on dynamic worklists, ensuring patients are notified of needed wellness screenings.

SMFM Reception Assistance

• Serve patients by greeting and helping them, scheduling appointments, appointment check-in, and maintaining records and accounts in a confidential manner.
• Welcomes patients and visitors in person or on the telephone, answering their questions, and/or forwarding messages to nursing/assistant staff in the electronic health record (EHR) system.
• Verifies demographic information to keep patients accounts current, and ensures patients have updated, signed acknowledgements, or completed forms, for HIPAA, Authorized Rep., Accident Questionnaires, etc., as applicable. Verifies insurance information/coverage for every registration, including uploading current insurance cards into the EHR.
• Keeps current knowledge on insurance payors and requirements, i.e. Medicaid Healthy Connections, VA RFS authorizations, etc.
• Performs general cashiering duties (i.e. co-payments and payments on existing accounts) and deposits all monies collected for the business day to Patient Financial Services daily.
• Performs patient “call-backs” to remind patients of upcoming appointments, noting contact in the EHR.
• Refers self-pay patients to Patient Financial Services to set-up payment plans, if needed.
• Works closely with Medical Records when patients or other medical offices request patient records.
• Scanning of patient consent forms into patient’s EHR.