Summary

Job Description

POSITION SUMMARY: The navigator helps guide the patient through the healthcare system and works to overcome obstacles that are in the way of the patient receiving the care and treatment they require. The navigator will coordinate the collaboration with other healthcare providers on patient Care Team to ensure all parties are working in partnership on their mutual patient.

HOURS: Able to work within office hours

Monday - Friday 8am to 5pm.

Occasional weekends.

ESSENTIAL FUNCTIONS: Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:

• Orchestrate collaboration time with Care Team to ensure all parties are available to discuss mutual patient as needed.

• Facilitating communication between the patient, family members, and healthcare providers to ensure patient satisfaction and quality of care.

• Ensuring continuation of care and linkage to community resources as needed.

• Informing the patient on financial aspects of care and linking patient to financial resources as needed.

• Daily review of next day provider schedules to gather information necessary for morning care team huddle.

• Aid Practice Manager in weekly team collaboration huddle with in- office providers to discuss patients seeking or receiving care from multiple providers within the practice.

• Serves as the first-line resource for all customers (internal/external) with regards to Insurance and Referrals. Must be knowledgeable in all areas of insurance verification and authorization/referral processes.

• Serve as liaison for patient with doctor offices with regards to processing referrals. Communication may be via fax/telephone/electronically.

• Liaison between patient and insurance company to explain to patient what their insurance company requires to meet referral/authorization compliance.

SECONDARY FUNCTIONS: The following duties are considered secondary to the primary duties listed above:

• Maintains knowledge of registration and scheduling processes with the capability of filling in as needed based on office workload or staffing demands.

• Other duties as assigned.

JOB REQUIREMENTS

MINIMUM REQUIRED QUALIFICATIONS:

• High School Diploma or General Equivalency Degree (GED).

• Three (3) years of clerical, customer service, or administrative support experience in a highly customer-oriented organization.

• Three (3) year experience with basic keyboarding, personal computer use, and other office setting equipment.

• One (1) year of registration experience, point of service collection, insurance validation, understanding of compliance /regulatory guidelines and order release process(es).

• One (1) year prior experience of Revenue Cycle in a Hospital/Medical Office Setting.

PREFERRED QUALIFICATIONS:

• Associates or equivalent experience in health care preferred.

• Previous Epic or equivalent Electronic Medical Record experience.

Disclaimer: This job description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be a reflection of those principal job elements essential for recruitment and selection, for making fair job evaluations, and for establishing performance standards. The percentages of time spent performing job duties are estimates, and should not be considered absolute. The incumbent shall perform all other functions and/or be cross-trained as shall be determined at the sole discretion of management, who has the right to amend, modify, or terminate this job in part or in whole. Incumbent must be able to perform all job functions safely.

Benefits At A Glance:

PENN MEDICINE LANCASTER GENERAL HEALTH offers the following benefits to employees:

• 100% Tuition Assistance at The Pennsylvania College of Health Sciences

• Paid Time Off and Paid Holidays

• Shift, Weekend and On-Call Differentials

• Health, Dental and Vision Coverage

• Short-Term and Long-Term Disability

• Retirement Savings Account with Company Matching

• Child Care Subsidies

• Onsite Gym and Fitness Classes

Disclaimer

PENN MEDICINE LANCASTER GENERAL HEALTH is an Equal Opportunity Employer, committed to hiring a diverse workforce. All openings will be filled based on qualifications without regard to race, color, sex, sexual orientation, gender identity, national origin, marital status, veteran status, disability, age, religion or any other classification protected by law.

Search Firm Representatives please read carefully: PENN MEDICINE LANCASTER GENERAL HEALTH is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, all resumes submitted by search firms to any employee at PENN MEDICINE LANCASTER GENERAL HEALTH via-email, the Internet or directly to hiring managers at Penn Medicine Lancaster General Health in any form without a valid written search agreement in place for that position will be deemed the sole property of PENN MEDICINE LANCASTER GENERAL HEALTH, and no fee will be paid in the event the candidate is hired by PENN MEDICINE LANCASTER GENERAL HEALTH as a result of the referral or through other means.

PENN MEDICINE LANCASTER GENERAL HEALTH, a member of the University of Pennsylvania Health System (Penn Medicine), is a not-for-profit health system with a comprehensive network of care encompassing Lancaster General Hospital (LGH), Women & Babies Hospital and the Lancaster Rehabilitation Hospital (a partnership with Kindred Healthcare). We are an Accredited Trauma Center-Level I through the Pennsylvania Trauma Systems Foundation with 805 Licensed beds. Our membership in Penn Medicine brings together the strengths of a world-renowned, not-for-profit academic medical center and a nationally recognized, not-for-profit community healthcare system.

Outpatient services are provided at the Downtown Outpatient and Suburban Outpatient Pavilions, along with additional outpatient centers and Express and Urgent Care locations throughout the region. Lancaster General Health Physicians is a network of more than 300 primary-care and specialty physicians, at more than 40 offices throughout the region.