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Lancaster General Health Patient Navigator-Specialty Medicine-Kissel Hill Outpatient Center (40 hours/week, 1st shift) in Lancaster, Pennsylvania

Company

Lancaster General Medical Grp

Cost Center

61237 Specialty Medicine at KH

Supervisory Organization

Specialty Medicine Kissel Hill

Grade

G10

Summary

40 hours/week. Monday through Friday, 7:30am- 5pm. No weekends or holidays.

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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.

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.

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.

  • Associates or equivalent experience in health care preferred.

  • Previous Epic or equivalent Electronic Medical Record experience preferred.

Penn Medicine Lancaster General Health, at http://lancastergeneralhealth.org/LGH/ a member of the University of Pennsylvania Health System (Penn Medicine), at https://www.pennmedicine.org/ is a 631-licensed bed not-for-profit health system with a comprehensive network of care encompassing Lancaster General Hospital (LGH), Women & Babies Hospital and the Lancaster Rehabilitation Hospital (in partnership with Kindred Healthcare) . 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 . Pennsylvania College of Health Sciences is a private, co-educational, Middle States-accredited four-year college offering a variety of associate and baccalaureate degree and certification programs in healthcare.

A four time designated Magnet hospital for nursing excellence, Penn Medicine Lancaster General Health has been recognized regionally and nationally for clinical excellence and patient safety; and ranked nationally by U.S. News & World Report as one of the nation’s best hospitals in 2015-16 in three specialties. It is also one of only seven hospitals in the country with all of the following distinctions:

5 Star Rating on Medicare.gov Hospital Compare

Healthgrades America’s 50 Best Hospitals 2017 at https://www.healthgrades.com/hospital-directory/pennsylvania-pa/lancaster-general-hospital-hgst7169e6a6390100

Leapfrog Hospital Safety Grade A

US News List of High Performing Hospitals at https://health.usnews.com/best-hospitals/area/pa/lancaster-general-hospital-6231120

EOE Race/Color/Sex/Sexual Orientation/Gender Indentity/Disability/Vet

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