at NorthShore University Health System in Warrenville, Illinois, United States
Job Description
Position Highlights:
Position: Patient Navigator
Location: Warrenville, IL
Per Diem- As needed
Hours: As needed-Between the hours of 7am-11:30pm, 7 days a week.
Provides initial response to clients reaching out to the hospital. Conducts initial assessment of clients and schedules mental health appointments. Responds to and triages crisis calls. Registers, reviews and corrects patient registration information in the computer system. Verifies insurance coverage and eligibility on all Blue Cross HMOI members.
Call Center:
Answers phone inquiries to determine needs of the client.
Responds to and triages crisis calls. Partners with team to respond immediately to urgent situations.
Assists the client in determining what services are appropriate and if services meet the eligibility requirements per the HMOI plan.
Schedules client appointments or refers client to contracted providers where appropriate.
Enters data necessary for registration of client using departmental software program(s).
Uses software program to assist in benefit verification, claims adjudication and other aspects of the HMOI contract support function when appropriate and needed.
Assists in the communication to providers and/or clients regarding issues, such as, scheduling, releasing information, and assessment recommendations.
Registration Functions:
Reviews various forms (i.e. Release of Information, Agreement and Authorization, etc.) with clients telephonically as necessary.
What you will need:
Required Education, Skills and/or Experience:
Basic computer knowledge that included Microsoft Office Suite
Maintain information as highly confidential
Ability to maintain professional boundaries and willingness to seek supervision
Associate's Degree plus a minimum of three years of experience or a Bachelor's Degree.
Preferred Education, Skills and/or Experience:
Bachelor's Degree in a Behavioral Health related field
Minimum of one year of previous experience in healthcare or in a behavioral healthcare setting
Crisis line or crisis intervention experience
Substantial knowledge base of insurance plans such as Commercial, Managed Care and capitated plans, Medicare, Medicaid and Workers Compensation
Required License and/or Certification:
CPI (Crisis Prevention Intervention) certification within 90 days of start date into position
Current CPR Certification issued by American Heart Association within 90 days of start date into position
Benefits:
Career Pathways to Promote Professional Growth and Development
Free Parking at designated locations
Wellness Program Savings Plan
Health Savings Account Options
Retirement Options with Company Match
Community Involvement Opportunities
EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
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