Patient Navigator (Immersiv)

Patient NavigatorWho We AreImmersiv is a new medical infusion clinic company that is designed to enhance both the providers’ and patients’ experiences as they navigate through the healthcare system. Healthcare today is disjointed, confusing, and transactional. We see the opportunity to treat our infusion clinics as something more than just a place for patients to receive their medication. Immersiv will also offer access to vaccines, outcomes assessments, and so much more. In addition, we empower our clinicians to promote conversations about patients’ concerns, action on prescriptive opportunities, and provide elite medical care overall.About This RoleThe Patient Navigator works closely with referring providers, patients, and payors to on-board patients to service as timely and seamlessly as possible. They help ensure patients are qualified for service and coordinate initiation and on-going treatment with all parties involved. What You’ll DoProcess new patient referrals, entering patient demographic, payor, and billing information timely and accurately.Communicate with various payors, referral sources, patients and representatives regarding:Documentation to support medical necessity, payor coverage, and appealsFinancial assistance eligibility and enrollmentPayment plans for patient financial responsibilityPharmaceutical/Manufacturer hub services and enrollmentVerify eligibility and benefits accurately and in a timely manner in accordance with company policies.Obtain initial authorizations following company policy and maintain active authorization on all patients as appropriate.Ensure thorough documentation of all coordination and all necessary documentation for billing is in the patient’s record.Schedule patient visits according to established procedures.Obtain patient orders, office visit notes, diagnostic and lab results from outside provider offices.Comply with payor medical policy, FDA guidelines, and CMS billing and coding guidelines. Process all required paperwork according to established procedures while ensuring data integrity.Update knowledge and skills by attending in-service programs throughout the year.Answer telephone calls and emails in a professional and timely manner.Other related duties as assigned.RequirementsHigh school diploma or equivalentMinimum of two years’ experience in patient intake, revenue operations, billing, insurance case management or clinical setting in a healthcare facilityMust possess a strong work ethic and team mentality, with excellent interpersonal skills for interacting with patients, providers, and coworkers.Preferred ExperiencesPrior experience with ambulatory infusion center software or EMRPrior experience within a specialty pharmacy settingWhat We OfferWe offer a competitive compensation + commission package in addition to a benefits package (medical, dental, and vision insurance, 401k). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills, and experience.Originally posted on Himalayas

Patient NavigatorWho We AreImmersiv is a new medical infusion clinic company that is designed to enhance both the providers’ and patients’ experiences as they navigate through the healthcare system. Healthcare today is disjointed, confusing, and transactional. We see the opportunity to treat our infusion clinics as something more than just a place for patients to receive their medication. Immersiv will also offer access to vaccines, outcomes assessments, and so much more. In addition, we empower our clinicians to promote conversations about patients’ concerns, action on prescriptive opportunities, and provide elite medical care overall.About This RoleThe Patient Navigator works closely with referring providers, patients, and payors to on-board patients to service as timely and seamlessly as possible. They help ensure patients are qualified for service and coordinate initiation and on-going treatment with all parties involved. What You’ll DoProcess new patient referrals, entering patient demographic, payor, and billing information timely and accurately.Communicate with various payors, referral sources, patients and representatives regarding:Documentation to support medical necessity, payor coverage, and appealsFinancial assistance eligibility and enrollmentPayment plans for patient financial responsibilityPharmaceutical/Manufacturer hub services and enrollmentVerify eligibility and benefits accurately and in a timely manner in accordance with company policies.Obtain initial authorizations following company policy and maintain active authorization on all patients as appropriate.Ensure thorough documentation of all coordination and all necessary documentation for billing is in the patient’s record.Schedule patient visits according to established procedures.Obtain patient orders, office visit notes, diagnostic and lab results from outside provider offices.Comply with payor medical policy, FDA guidelines, and CMS billing and coding guidelines. Process all required paperwork according to established procedures while ensuring data integrity.Update knowledge and skills by attending in-service programs throughout the year.Answer telephone calls and emails in a professional and timely manner.Other related duties as assigned.RequirementsHigh school diploma or equivalentMinimum of two years’ experience in patient intake, revenue operations, billing, insurance case management or clinical setting in a healthcare facilityMust possess a strong work ethic and team mentality, with excellent interpersonal skills for interacting with patients, providers, and coworkers.Preferred ExperiencesPrior experience with ambulatory infusion center software or EMRPrior experience within a specialty pharmacy settingWhat We OfferWe offer a competitive compensation + commission package in addition to a benefits package (medical, dental, and vision insurance, 401k). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills, and experience.Originally posted on Himalayas