Patient Navigator Non-Clinical- Somerset, NJ

Job Overview :

Provides a compassionate and supportive environment with prompt and consistent service to support RWJBH organization’s mission to become the leading academic and preferred community cancer network throughout the state of New Jersey for patients and clinicians who seek exceptional, personalized, compassionate care fostered by fully integrated, interdisciplinary approaches to the prevention and treatment of cancer.

Manages all incoming calls, external and internal referrals for oncology services. Fields incoming inquiries and requests, matching patients to the best possible service, physician, and appointment based on their diagnosis, geographic location and preferences.

Functions as medically knowledgeable and friendly resource for patients and caregivers, referring providers, RWJBH providers and staff.

Ensures all required demographic, financial, referral / authorization, clinical, and other registration data is accurately scheduled, collected, verified, and communicated appropriately.

Functions include scheduling of physician oncology services for all RWJBH sites, pre-registration / registration, insurance verification, referral coordination, pre-certification, screening for financial counseling, eligibility determination and pre-service communication.

Obtains and verifies insurance / payment source, seeks necessary referral / authorization and coverage extensions as required, and assists with identification / resolution of insurance issues.

Supports multiple patient and payer types to ensure billing procedures are followed.

Qualifications : Required :

Required :

• One to three years of related experience within the healthcare field.
• Associates degree
• Ability and interest to learn clinical information and criteria.
• Knowledge of medical terminology. Emphasis on computer literacy and communication skills, such as Microsoft Excel and Word.

Preferred :

Bachelors Degree

Essential Functions :

• Accurately performs all the appropriate tasks to completion for pre-registration, registration insurance verification, authorization review.
• Field incoming inquiries and requests, and matching patients to the best possible service, physician, and appointment based on their diagnosis, geographic location, and preferences.
• Screens and intake requests according to Oncology Services and Physician appointment and surgical criteria to ensure the most accurate scheduling.
• Adheres to the necessary phone schedule and etiquette Adheres to the department’s phone schedule, including breaks, lunch and time away from phones to support the required needs of the department to deliver quality customer service.
• Efficiently connects the patients and customers to a clinical navigator in the Oncology Service line matrix of services.
• Strong telecommunication skills whereby associate displays professional courtesy at all times and immediately attempts to establish a good rapport with the patient.
• Present speaking voice as clear and pleasant, with proper enunciation and timing taken to carefully project his / her words.
• Follows customer service training protocols as outlined in departmental requirements and explains scheduling matters to the patients, departments and other oncology focus areas.
• Provides coaching and / or other guidance to Lay Navigators to improve telephonic communication and patient registration / scheduling accuracy.

Other Duties :

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.

Duties, responsibilities and activities may change at any time with or without notice.