What are the responsibilities and job description for the Patient Navigator position at Triad Adult and Pediatric Medicine, Inc?
Position Summary:
TAPM (Triad Adult and Pediatric Medicine) patient navigator will guide patients through the health care system and help them overcome barriers that prevent them from getting the care they need. Our patient navigators will assist patients transitioning from uninsured or self-pay to available programs they qualify for regarding medical insurance coverage, sliding fee scale and GCCN Orange Card. Responsible for connecting new and established patients to resources to help overcome barriers to care. Responsible for tracking and documenting interactions with patients for data collection as needed.
Primary Job Responsibilities:
- Assist eligible patients to transition from uninsured or self-pay to programs such as Medicaid, Health Insurance Marketplace, Guilford Community Care Network (GCCN), or the TAPM Sliding Scale Fee Program.
- Assist newly enrolled Medicaid patients to establish care with a medical provider by assisting them through the new patient application process.
- Ensure all insurance, demographic, eligibility, and clinical information are obtained and entered in the EHR system accurately.
- Assist with determining sliding scale fee eligibility.
- Schedule the initial new patient appointments for newly enrolled Medicaid patients as needed.
- Educate patients regarding plan options, coverage details, benefits, enrollment processes, resources, and available TAPM services.
- Identify and connect patients to resources to overcome barriers to care (i.e., financial assistance, medication assistance, transportation, etc.).
- Assists new patients with first appointment.
- Document and track all interactions with patients/others appropriately to ensure proper documentation and data collection as needed for program reporting and tracking.
- Provide all services in an ethical, respectful, and compassionate manner while maintaining patient dignity.
- Maintain expertise in eligibility, enrollment and program specifications and provide information to patients in a fair and impartial manner.
- Participate in professional development, staff meetings, continuing education, quality improvement and performance review as required.
- Participates in Quality Improvement initiatives to improve efficiency and effectiveness of patient health outcomes.
- Abides by Health Center guidelines, policies and procedures, and HIPAA regulations.
- Willingly perform other duties as assigned.
Minimum Qualifications
- 1 to 3 years of experience in healthcare, customer service, education, community outreach, public health, benefits enrollment, and/or related fields.
- Bilingual Preferred (English/Spanish)
Preparation and training:
• Proficiency in Microsoft Office Outlook, Word, Excel, PowerPoint use and e‐mail communication.
• Excellent verbal and written communication skills.
• Must be able to work with changing priorities.
• Requires excellent organizational, problem solving and critical thinking skills.
• Must be able to interact with individuals of all cultures and levels of authority.
• Requires the ability to maintain confidentiality.
• Must be able to function as part of a team and work independently without direct supervision.
• Experience with electronic documentation systems.