About the role

Aplyr's Quick Take

This role combines patient support with insurance coordination, focusing on securing prior authorizations for medical services and helping patients navigate their care plans. It's primarily an individual contributor position that requires strong organizational skills and communication abilities.

Good fit

Ideal candidates are detail-oriented individuals with experience in healthcare or insurance, likely with a few years in administrative roles. A proactive approach to problem-solving and a passion for patient care will help you thrive here.

Worth noting

The pay range is relatively low for healthcare roles, and the emphasis on patient navigation suggests a strong focus on customer service. The job may involve some variability in hours, which could be a concern for those seeking a strict schedule.

It's fun to work in a company where people truly BELIEVE in what they're doing!

We're committed to bringing passion and customer focus to the business.

Day Shift - 7.5 Hours (United States of America)

The Authorization Coordinator & Patient Navigator is responsible for securing prior authorizations for procedures, medications, and other tests requiring insurance approval while also assisting patients in navigating barriers to care. This role involves coordinating insurance benefits, maintaining records of authorization requests, and providing support to patients to ensure adherence to their care plans.

Key Responsibilities:

Obtain prior authorizations for procedures, medications, and tests requiring insurance approval.
Maintain a database of authorization requests, tracking approvals and denials.
Work with patients in the outpatient clinic to identify and address barriers impacting care plan adherence.
Provide resources to assist with care coordination, including social services and insurance navigation.
Follow up with patients discharged from the Emergency Department or hospital to ensure continuity of care.
Complete and transmit required documentation to external care provider and insurance companies.
Maintain ongoing communication with patients.

Requirements:

High School Diploma required.
Proficiency in Microsoft Word, Excel, and PowerPoint for data analysis and reporting.
Ability to work within an electronic medical record (EMR) and hospital clinical information system.
Strong organizational and communication skills.
Coding Certificate preferred but not required.

Hours to be discussed at time of interview,

Salary Range: $23.00- $28.00

Employment Non-Discrimination: Richmond University Medical Center is committed to equality of opportunity in all aspects of employment and provides full and equal employment opportunities to all employees and potential employees without regard to race, color, national origin, religion, gender identity, sex, sexual orientation, pregnancy, childbirth and related medical conditions and needs including lactation accommodations, physical or mental disability, age, immigration or citizenship status, veteran or active military status, genetic information, or any other legally protected status.

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

Aplyr's read

Richmond University Medical Center is a vital healthcare provider on Staten Island, employing diverse roles from clinical to administrative staff to serve its community.
Synthesized from recent postings & public sources

What's promising

•Offers a wide range of healthcare services, enhancing professional growth opportunities.
•Community-focused, providing essential services to Staten Island residents.
•Recent hiring indicates a commitment to expanding and improving patient care.

What to watch

•Limited public information about career advancement opportunities.
•Potential resource constraints typical of community hospitals.
•Workload may be high due to broad service offerings and community demand.

Why Richmond University Medical Center

•Strong emphasis on serving the local Staten Island community.
•Diverse roles available, from clinical to administrative positions.
•Involvement in specialized programs like HIV patient navigation.

Aplyr’s read is generated by AI from public sources. Was it useful?

About Richmond University Medical Center

Richmond University Medical Center

rumcsi.org

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Richmond University Medical Center is a community hospital providing a range of healthcare services, including emergency care, surgical services, and outpatient care.