Sleep Medicine Patient Navigator- Full Time Days

Northwestern Memorial Healthcare - Winfield, IL

Full-time - Mid Level

Winfield, IL

Hospitals

About the position

The Sleep Medicine Patient Navigator at Northwestern Memorial Healthcare plays a crucial role in ensuring a seamless experience for patients within the Sleep Medicine department. This full-time position involves coordinating patient appointments, managing insurance verifications, and providing exceptional customer service to enhance patient care. The navigator works closely with physicians, clinical staff, and DME vendors to facilitate the necessary processes for sleep medicine patients, ensuring compliance with insurance requirements and Medicare guidelines.

Responsibilities

• Acts as new patient navigator to set up appointments, obtain referrals, and related medical records.
• Performs benefit investigation and responds to all incoming calls for Sleep patients, scheduling appointments and addressing billing and insurance inquiries.
• Schedules DME setups, coordinating between patients, departments, and DME vendors based on patient zip codes.
• Works with FCC on authorizations for home sleep tests, tracking orders and maintaining communication with patients.
• Processes orders for CPAP machines and supplies, filling out required paperwork and sending medical records to DME vendors for insurance coverage.
• Coordinates with Sleep Educator to schedule patient appointments once DME equipment is approved and received.
• Acts as Customer Service Representative for sleep patients, addressing concerns related to equipment, coverage, or benefits.
• Schedules peer-to-peer insurance reviews and submits paperwork for insurance/coverage appeals for denials.
• Investigates and tracks charts for sleep studies and machines to ensure payment through DME companies.
• Schedules Telemed appointments and performs other duties as assigned by the Manager of Durable Medical Equipment.

Requirements

• High School diploma or GED equivalent.
• Minimum of 3 years of medical office experience.
• Experience with electronic medical records (EMR) systems.

Nice-to-haves

• Procedural and insurance authorization experience.

Benefits

• Tuition reimbursement
• 401(k) matching
• Loan forgiveness