We have the great privilege of helping patients and families re-build their lives. It's extraordinarily meaningful work and the reason we greet the day with optimism and anticipation. When patients "Ask for Mary," they experience a culture that has been sculpted for more than a century. Our hallmark is to carefully listen to patients and innovatively serve them. This is true of every employee, from support staff and leadership, to clinicians and care providers. Mary Free Bed is a not-for-profit, nationally accredited rehabilitation hospital serving thousands of children and adults each year through inpatient, outpatient, sub-acute rehabilitation, orthotics and prosthetics and home and community programs. With the most comprehensive rehabilitation services in Michigan and an exclusive focus on rehabilitation, Mary Free Bed physicians, nurses and therapists help our patients achieve outstanding clinical outcomes. The growing Mary Free Bed Network provides patients throughout the state with access to our unique standard of care. Mission Statement:
Restoring hope and freedom through rehabilitation.
DIVERSITY AND INCLUSION Mary Free Bed values diversity and inclusion among patients, families and staff. We strive to hire people who reflect the communities we serve. Our employees will serve all patients, families and each other with dignity and respect.
The Navigation Support Specialist will provide valuable navigation support in collaboration with the nurse navigators and insured members thru various administrative type activities.
The c2health program is a business model for self-insured companies that provides care navigation services to ease access to health care through a single-point concierge service. Goals include fast and efficient access to care by the most appropriate provider and setting, single and personalized service for the insured, promoting awareness of cost and provider options, lower episodic costs, motivate members toward wellness and well-being, support best possible outcomes, and maintain high user satisfaction.
Essential Job Responsibilities: * Performs duties under the direction of the nurse navigator and/or pre-approved algorithms * Has direct communication and builds a working relationship with the insured members * Completes administrative navigation tasks such as: * Researching new primary care providers, costs, on-line information * Scheduling appointments * Follow-up on pending documentation * Assist with review and completion of paperwork for the insured * Calling medical offices for CPT codes, scheduling appointments, follow up on prior authorization, etc. * Obtaining cost estimations and quotes * Calling Third Party Administrator customer service as an advocate for the insured * Obtain medical records as needed * Others duties as assigned * Receives documentation, review for completion and accuracy and manage if changes are needed * Answer benefit questions * Schedule appointments for the insured members as needed * Documentation within the Navigation software: * Tasks and services completed for the insured members * Update Demographics * Upload documents * Emails and communication with the Nurse Navigator and members * Etc. * Monitor program compliance reports and follow up with insured as needed * Review documentation audit report and stay up to date on documentation * Maintain shared navigation resource documents * Obtain access to medical records if needed * Front Desk Coverage * Greets visitors * Register insured members, review demographics * Answers questions about the program as needed * Notify staff of guest arrival * Answers the phone * Schedule appointments * Send email reminders about appointments * Manage appointment no-show's * Set up virtual navigation appointments * Provide back up for various other roles within the department * Provide outreach regarding Biometrics * Other duties as assigned
Job Qualifications: * High school graduate or equivalent * Ideally Proficient or higher in a second language (example: Spanish) * Able to sit for the majority of the time, but may involve brief periods of time involving walking or standing. * Able to use keyboard frequently (1/3 to 2/3 of the time).
Mary Free Bed is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, genetic information, veteran status, disability or other legally protected characteristic.
Employer's Job# 7494
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