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JOB SUMMARY: The primary role of the Bariatric Patient Navigator is to assist patients in meeting their insurance and clinical requirements for the weight management services desired. The goal of the Bariatric Patient Navigator is to increase bariatric patient surgical or medical system volumes while maximizing patient satisfaction. The role of the Bariatric Patient Navigator specifically is to determine the patient's insurance benefits for weight loss surgery and medical weight management services coverage. The Patient Navigator will communicate monthly with the patient during their plan of care. The Patient Navigator will facilitate the pre-operative process, obtain authorizations for all diagnostics and testing as deemed necessary by physicians/surgeons/payers, submit for insurance benefits/approval for weight loss surgery. The Patient Navigator will communicate with the surgeon's office throughout the entire pre-operative process in an efficient and professional manner and with the Central Business Office during the pre-authorization period. The Bariatric Patient Navigator will be the contact person for the patient throughout the patient's entire weight management treatment plan. Additionally, the Patient Navigator will support the practice's billing integrity, ensuring patient accounts are managed in a fiscally responsible manner, notifying the Central Business Office of any account variances or adjustments needed. This position will also support the incoming referrals, managing calls to patients and referring providers as is appropriate.
REQUIRED EDUCATION: Associates Degree (Three to Five years of directly related work experience in a weight management clinic with a hospital or physician office setting will be considered in lieu of a degree.)
PREFERRED EDUCATION: Bachelor Degree
REQUIRED LICENSE: None
PREFERRED LICENSE: None
REQUIRED EXPERIENCE: 3 years of medical office or related medical business
PREFERRED EXPERIENCE: 5 years of medical office or related medical business
Mission Health is an Equal Opportunity Employer, and as such offers equal employment opportunities to applicants and employees without regard to race, color, religion, national origin, age, disability, gender, gender identity, sexual orientation, genetic information, protected veteran status or any other protected characteristic.