Sleep Medicine Patient Navigator- Durable Medical Equipment Full Time Days

Benefits

• $10,000 Tuition Reimbursement per year ($5,700 part-time)
• $10,000 Student Loan Repayment ($5,000 part-time)
• $1,000 Professional Development per year ($500 part-time)
• $250 Wellbeing Fund per year($125 for part-time)
• Matching 401(k)
• Excellent medical, dental and vision coverage
• Life insurance
• Annual Employee Salary Increase and Incentive Bonus
• Paid time off and Holiday pay

Northwestern Medicine is powered by a community of colleagues who are purpose-driven and committed to our mission to deliver world-class care. Here, you'll work alongside some of the best clinical talent in the nation leading the way in medical innovation and breakthrough research with Northwestern University Feinberg School of Medicine.

We recognize where you've been, and we support where you're headed. We celebrate diverse perspectives and experiences, which fuel our commitment to equity and culture of service.

Grow your career with comprehensive training and development opportunities, mentorship programs, educational support and student loan repayment.

• Create the life you envision for yourself with flexible work options, a Reimbursable Well-Being Fund and a Total Rewards package that support your physical, mental, emotional and financial well-being.
• Make a difference through volunteer opportunities we offer in local communities and drive inclusive change through our workforce-led resource groups.

From discovery to delivery, come help us shape the future of medicine.

Description

The RMG Sleep Medicine Patient Navigatorreflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

This position will have comprehensive knowledge of Sleep Medicine patient needs and will work in partnership with the physicians and clinical staff to ensure a smooth and efficient process. This position performs registration, scheduling, insurance verification/pre-certification, and clerical functions in an accurate timely manner, and they will work closely with DME vendor delivering the highest level of customer service over the phone and in person.

Responsibilities:

• Acts as new patient navigator to set up appointments, obtain referrals, related medical records. Performs benefit investigation
• Responds to all incoming calls for Sleep patients and schedules all appointments, billing and insurance inquiries
• Schedules DME setups- coordinates between patient, department and DME or required DME vendor-depending on patient zip-code.
• Works with FCC on authorizations for home sleep tests-tracks orders and authorizations while maintaining communication with patients during this process.
• Processing orders for CPAP machine and supplies-this entails filling out required paperwork, forms, and sending required medical records to DME vendor in order for insurance to cover. All plans have different rules and requirements and the navigator must be well versed in all the insurance coverage policies. Must also know what DME equipment is covered by each insurance company.
• Works with Sleep Educator to schedule patient once DME equipment is approved and received.
• Coordinates provider appointments after equipment is received. Per Medicare guidelines patients must be seen between 31 and 90 days of receiving equipment.  If patients are not seen in this timeframe, they are deemed “non-compliant” and the entire process must be repeated.
• Acts as Customer Service Representative for sleep patients. Addresses all patient concerns related to equipment, coverage, or benefits and relays information to physicians, clinical staff or DME company as indicated.
• Schedules peer to peers insurance reviews and submits all paperwork for insurance/coverage appeals for insurance denials.
• Investigates and tracks charts for sleep studies and machines in order to receive payment through DME company.
• Schedules Telemed appointments.
• Performs other duties as assigned by Manager of Durable Medical Equipment.

Qualifications

Required:

• High School diploma or GED equivalent.

• Minimum of 3 years of medical office experience.
• Experience with electronic medical record.

Preferred: 

• Procedural and insurance authorization experience.

Equal Opportunity

Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.