Patient Navigator (Immersiv) at Downing Capital Group

, Colorado, United States -

Full Time

Start Date

Immediate

Expiry Date

13 May, 26

Salary

0.0

Posted On

12 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Patient Intake, Revenue Operations, Billing, Insurance Case Management, Interpersonal Skills, Documentation, Authorization, Scheduling, Data Integrity, Payor Communication

Industry

Venture Capital and Private Equity Principals

Description

Patient Navigator Who We Are Immersiv is a new medical infusion clinic company that is designed to enhance both the providers’ and patients’ experiences as they navigate through the healthcare system. Healthcare today is disjointed, confusing, and transactional. We see the opportunity to treat our infusion clinics as something more than just a place for patients to receive their medication. Immersiv will also offer access to vaccines, outcomes assessments, and so much more. In addition, we empower our clinicians to promote conversations about patients’ concerns, action on prescriptive opportunities, and provide elite medical care overall. About This Role The Patient Navigator works closely with referring providers, patients, and payors to on-board patients to service as timely and seamlessly as possible. They help ensure patients are qualified for service and coordinate initiation and on-going treatment with all parties involved. What You’ll Do Process new patient referrals, entering patient demographic, payor, and billing information timely and accurately. Communicate with various payors, referral sources, patients and representatives regarding: Documentation to support medical necessity, payor coverage, and appeals Financial assistance eligibility and enrollment Payment plans for patient financial responsibility Pharmaceutical/Manufacturer hub services and enrollment Verify eligibility and benefits accurately and in a timely manner in accordance with company policies. Obtain initial authorizations following company policy and maintain active authorization on all patients as appropriate. Ensure thorough documentation of all coordination and all necessary documentation for billing is in the patient’s record. Schedule patient visits according to established procedures. Obtain patient orders, office visit notes, diagnostic and lab results from outside provider offices. Comply with payor medical policy, FDA guidelines, and CMS billing and coding guidelines. Process all required paperwork according to established procedures while ensuring data integrity. Update knowledge and skills by attending in-service programs throughout the year. Answer telephone calls and emails in a professional and timely manner. Other related duties as assigned. Requirements High school diploma or equivalent Minimum of two years’ experience in patient intake, revenue operations, billing, insurance case management or clinical setting in a healthcare facility Must possess a strong work ethic and team mentality, with excellent interpersonal skills for interacting with patients, providers, and coworkers. Preferred Experiences Prior experience with ambulatory infusion center software or EMR Prior experience within a specialty pharmacy setting What We Offer We offer a competitive compensation + commission package in addition to a benefits package (medical, dental, and vision insurance, 401k). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills, and experience.

Responsibilities

The Patient Navigator processes new patient referrals, manages demographic and payor information, and coordinates initiation and ongoing treatment by communicating with providers, patients, and payors regarding coverage, necessity, and financial assistance. They are responsible for verifying eligibility, obtaining authorizations, scheduling visits, and ensuring thorough documentation for billing compliance.