Patient Navigator or Patient Support Specialist - Grand Junction, CO
Healthstat, Inc

Job Info

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Marathon Health is a leading provider of advanced primary care in the U.S., serving 2.5 million eligible patients through approximately 630 employer and union-sponsored clients. Our comprehensive services include advanced primary care, mental health, occupational health, musculoskeletal, and pharmacy services, delivered through our 680+ health centers across 41 states. We also offer virtual primary care and mental health services accessible in all 50 states. Transforming healthcare delivery with a patient-first approach, we prioritize convenient access to both in-person and virtual care, resulting in improved health outcomes and significant cost savings. Committed to inclusivity and collaboration, we foster a positive work environment and recruit exceptional talent to ensure expertise and compassion in healthcare delivery. Marathon has been recognized as a five-time Modern Healthcare Best Places to Work in Healthcare winner and a six-time Best in KLAS award winner for employer-sponsored healthcare services.

ABOUT THE JOB

The patient navigator is responsible for supporting our patients in navigating Marathon Health and the customer health benefits as well as support ongoing engagement. The patient navigator will also support our front end and clinical team.

ESSENTIAL DUTIES & RESPONSIBILITIES

• Understand the clients current benefit programs for member assistant
• Assist member to understand their available employer benefit plan as appropriate.
• Assist members with communication, enrollment, and paperwork as need for benefit eligibility
• Verification on members insurance eligibility
• Engage identified members telephonically, or through internal portal.
• Collaborate with Clinic Staff when needed to support patients
• Coordinate referrals, schedule exams, procedures, and appointments for patients
• Attend Patient Engagement Events
• Review EMR information and document member-outcomes
• Performs outgoing phone calls and secure messages to patients: (i) Proactive outreach for lifestyle risk reduction and disease management, including documentation of all interactions in the EMR, (ii) Follow-up on medical visits to the clinic as necessary.
• Work with membersto identify and removebarriers created by social determinants ofhealth
• Provide assistance infinding cost affordable options formedications, outsidecare, transportation, groceries, housing, and other Social Determinate of Health issues when needed.
• Answer incoming calls and general office phones
• Assist with collection and documentation of pertinent demographic and clinical data
• Maintain client confidentiality
• Identify potential referral provider or facilities using various tools and applications.
• Scanning/ Faxing Documents
• Provides assistance to secure future appointments or testing.

QUALIFICATIONS

Associate degree in related field and 2+ years' experience with insurance plans, third-party payer practice and guidelines or combination of education and experience. Experience in healthcare preferred.

DESIRED ATTRIBUTES

• Pleasant and patient demeanor.
• Excellent verbal and written communication skills.
• Attention to detail with good organizational capabilities
• Professionalism and self-motivation with the ability to work well independently and on a team.
• Proficiency with computers and strong typing skills.
• Ability to maintain confidentiality.
• Knowledge of and experience with medical terminology and procedural coding. Includes ability to interpret insurance information.
• Knowledge of Electronic Medical Record software and Microsoft Office products.

Pay Range: $20.00-30.00/hr

The actual offer may vary dependent upon geographic location and the candidate's years of experience and/or skill level.

We are accepting applications for this position until a candidate has been selected. To apply to this position and learn more about open jobs at Marathon Health, visit our careers page.

Marathon Benefits Summary

We believe in empowering teammates to do their best work and build better healthcare. Below are some of our benefit offerings. Eligibility is based on 24/hr week.

• Health and Well-Being: Free Marathon membership for in person and virtual care, employer paid life and disability insurance, and choice in medical/dental plans, vision, employer funded HSA, FSA, and voluntary illness, accident and hospitalization plans. Benefits are effective on the first of the month following date of hire.
• Financial Support: Competitive compensation, 401k match, access to financial coaching through our Employee Assistance Program
• Lifestyle: Paid time off for vacation, sick leave, and more, holiday schedule

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