CLINICAL REVIEW TEAM NAVIGATOR - REVENUE CYCLE
henryfordhealth1
Full-timemid
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Job description
<p>As a Clinical Review Team Navigator, you'll be the vital bridge between patients and care, working with minimal supervision to screen patient requests and determine medical necessity while ensuring financial barriers don't stand in the way of quality healthcare. You'll take ownership of addressing current and prior balances, guiding uninsured and underinsured patients through available financial assistance programs with empathy and expertise. Your collaborative spirit will shine as you partner with physicians and Henry Ford Health staff across all organizational levels to assess continuing care needs and advocate for patients every step of the way. This is more than administrative work—you'll directly impact patient outcomes by removing obstacles, building trust, and connecting people with the resources they need to receive the care they deserve.</p>
<ul><li>High School Diploma or G.E.D. equivalent. </li><li>Associate's degree or two (2) years of college course-work in business, community health, social work, case management or a related field, preferred. </li><li>Two (2) years of experience working as a patient navigator, patient advocate, financial navigator or insurance verification specialist. </li><li>Working Knowledge of Microsoft Office Suite. </li><li>Technical proficiency in EPIC applications such as Appointment Scheduling (all versions), Registrations, Work Queues and Referrals. </li><li>Knowledge of medical terminology preferred. </li><li>Bilingual, as appropriate to the work site. </li><li>Ability to speak clearly and effectively. </li><li>Customer service-oriented including the ability to interact professionally and handle sensitive information/issues in a confidential, respectful, assertive, and empathetic manner in difficult interpersonal situations. </li><li>Ability to act in a manner that establishes positive rapport with patients, families, and public/private financial assistance programs. </li><li>Ability to quickly assess and respond appropriately to emergency situations. </li><li>Ability to comprehend medical terms. Analytical skills to resolve complex problems requiring the use of scientific, mathematical, or technical principles, and in-depth experience in multi-tasking. </li><li>Ability to deliver consistent results and possess the drive to continually improve processes to benefit the patient and the hospital system. </li><li>Ability to visually proofread typed work for errors. </li><li>Ability to communicate via telephone to a variety of groups (patients, patients' families, insurance companies, other departments, etc.)</li></ul>
Skills
Microsoft Office SuiteEPICAppointment SchedulingRegistrationsWork QueuesReferrals