Patient Access Navigator
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Job Description
Patient Access Navigator supporting Tufts Medicine’s healthcare revenue-cycle operations. Managing patient scheduling, pre-registration, referrals, estimates, authorizations, and access inquiries remotely.
Responsibilities:
- Support Revenue Cycle workflows including Front End Patient Support, Scheduling, Pre-Registration, Referrals and Authorization
- Perform administrative and financial-clearance duties to facilitate patients’ procurement of clinical services
- Collect demographic, financial and clinical information from patients, physician offices and acute-care entities
- Schedule, reschedule and cancel appointments; handle primary-care referrals
- Support inbound and outbound call volume
- Complete pre-registrations
- Send and receive MyTuftsMed portal messages
- Support Epic appointment and patient workqueues
- Generate and finalize patient estimates and attempt to collect estimated amounts due
- Receive and transcribe hospital-based orders
- Obtain referrals and authorizations
- Collect copays, deductibles and/or coinsurances
- Respond to patient, physician and employee inquiries regarding registration, appointments, estimates, provider messages and other services
- Maintain quality, productivity and customer-service KPIs/metrics
- Ensure adherence to standard process discipline
- Participate in training, coaching, mentoring and bi-monthly meetings
- Contribute to departmental goals, initiatives, teamwork and positive morale
Requirements:
- Minimum High School Diploma or Equivalent
- Experience in insurance, managed care, private physician’s office practice or hospital registration setting preferred
- Revenue Cycle, Patient Access or Pre-Services experience preferred
- Knowledge of medical terminology, CPT and ICD-10 codes
- Significant knowledge of Medicare, Medicaid, and third-party payer billing guidelines, compliance, and regulations
- Knowledge of Epic Cadence, Vyne/Trace, Microsoft Teams, Amazon Connect/AWS
- Proven analytical and critical-thinking skills and strong decision-making
- Ability to interpret qualitative and quantitative data and trends
- Ability to collaborate within and outside Revenue Cycle and adapt methodologies and approaches
- Ability to build relationships with team members
- Strong oral, written and interpersonal communication skills
- Ability to work in a complex environment with frequent changes
- Excellent organizational skills and attention to detail
- 3 weeks of full-time training required from 8:00 AM to 4:30 PM
Benefits:
- Comprehensive Total Rewards package supporting health, financial security, and career growth
- Fair and competitive pay
- 100% remote work
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