Find & Apply For Patient Advocate / Navigator Jobs in Simi Valley, California

Care Connection Associate, Full-time, Day Shift Adventist Health - 3.6 Simi Valley, CA Job Details Full-time $25.00 - $29.56 an hour 22 hours ago Qualifications Collaborate with healthcare professionals Patient scheduling systems Patient question and concern management Overseeing health insurance pre-certification Medical insurance coverage verification Patient demographics Patient advocacy Healthcare provider promotion Medical scheduling High school diploma or GED Healthcare referral management Internal employee customer service Clinical information systems Client referral services Health insurance referral requirements Faxing Care coordination Associate's degree Marketing Entry level Patient family support Full Job Description Centered in beautiful Southern California, Adventist Health Simi Valley has been one of the area's leading healthcare providers since 1965. We are comprised of a 144-bed hospital, home care services and a vast scope of award-winning services located throughout Ventura County. Simi Valley is a suburban area nestled between an urban oasis and the stunning shores of the Pacific Ocean. Bordering Los Angeles allows hiking in the morning and attending film premieres in the evening.

Job Summary:

Manages incoming and outgoing referrals from Imaging, primary and specialty providers in a timely and professional manner; schedules appointments according to practice policy; maintains positive relations with referral sources; schedules appointments from third party electronic referral systems, fax, email and web requests; and participates in marketing to referring practices. Provides quality customer service & patient financial responsibilities to patients, referring physicians, visitors and internal customers by obtaining insurance authorization and benefit verification for imaging procedures and specialty referrals.

Job Requirements:

Education and Work Experience:

High School Education/GED or equivalent: Preferred Associate's/Technical Degree or equivalent combination of education/related experience:

Preferred Essential Functions:

Processes inbound and outbound referrals, verifies referrals are correctly ordered according to protocols in the EHR. Obtains benefit verification and necessary authorizations (referrals, pre-certification) prior to patient arrival for all ambulatory visits, procedures, injections and radiology services. Uses online, web-based verification systems and reviews real-time eligibility responses to ensure accuracy of insurance eligibility. Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans. Serves as navigator and point of contact for patients and families, with patients and families having direct access for asking questions and raising concerns. Occasionally assumes advocate role on the patient's behalf with the carrier to ensure approval of the necessary supplies/services for the patient in a timely fashion. Assists patient in problem-solving potential issues related to the healthcare system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance) Maintains satisfactory productivity rates and ensures the timeliness of referral and scheduling while maintaining work queue goals. Collaborates effectively with Care Connection Center associates and responds to provider (internal and external) and support staff questions, requests and concerns regarding the status of patient referrals, care coordination or follow-up status. Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify.

Visit https:

//adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.