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Patient Navigator Resume Example

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PATIENT NAVIGATOR
Professional Summary

Strong analytical and data management skills to exercise clinical judgment in interactions with physicians, payers, patients and families. More than 25 years of medical experience, utilization review and discharge planning expertise to make critical decisions.

Skills

  • Insurance understanding
  • Medical insurance
  • Document filing
  • Appointment Scheduling
  • Insurance verifying
  • Verbal and written communication
  • Caseload management
  • Activity monitoring
  • Organized nature
  • System updates
  • Interpreting physician orders
  • Coding understanding
  • Chart pulling
  • Payment collection
  • Patient rights
  • Medical recordkeeping
  • Medical billing
  • Relationship building
  • Grief support
  • Medicaid knowledge
  • [Insurance company] knowledge
Work History
Patient Navigator, 10/2012 to 01/2021
Company Name – City, State
  • Assisted patients in scheduling doctor and healthcare appointments.
  • Consulted with medical staff and ancillary department to eliminate barriers to delivery of care and identified service delivery problems and potential for patient management intervention.
  • Identified barriers when treatment goals not met, treatment plan not followed or important appointments missed and collaborated in redeveloping patient treatment goals.
  • Assisted with and facilitated transition of care from hospitals, rehabilitation facilities and skilled nursing facilities to home.
  • Facilitated nursing care and individual patient and family education to support high risk and chronic disease management.
  • Participated in regular team meetings, huddles, staff meetings and quality improvement projects to improve patient care.
  • Organized patient schedules and assisted in planning transportation and payments.
  • Entered details into computer systems and managed database of information.
  • Worked effectively with staff from all departments to coordinate resolutions.
  • Responded to patient concerns and questions with compassionate and knowledgeable service.
  • Collected and reviewed patient information to assess eligibility for special programs.
  • Educated patients on insurance and healthcare plans.
Certified Medical Assistant, 01/2004 to 10/2012
Company Name – City, State
  • Assisted with routine checks and diagnostic testing by collecting and processing specimens.
  • Promoted office efficiency, coordinating charts, completing insurance forms and helping patients with diverse needs.
  • Collected and documented patient medical information such as blood pressure and weight.
  • Communicated clearly and effectively with patients to verify information, determine purpose of visit and record medical history.
  • Educated patients by providing medication and diet information and clarifying physicians' orders, answering questions thoroughly.
  • Conducted preliminary evaluations, including measuring weight, temperature and blood pressure, and documented results with accuracy.
  • Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
  • Oriented and trained new staff on proper procedures and policies.
  • Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
  • Explained procedures to patients to reduce anxieties and increase patient cooperation.
  • Maintained detailed records of test results by entering data and patient information into computer.
  • Obtained client medical history, including medication information, symptoms and allergies.
  • Collected histories, vitals and current complaints via patient interviews.
  • Performed clerical duties, such as word processing, data entry, answering phones and filing.
Patient Service Representative, 01/2003 to 01/2004
Company Name – City, State
  • Schedule appointments.
  • Verified insurance coverage for patients and worked with clinic to schedule doctor visits.
  • Verified insurance coverage and obtained pre-authorizations.
  • Verified insurance benefits and obtained pre-authorizations before any medical procedures were performed.
  • Managed company schedule and calendar.
  • Communicated and interacted with team members, patients' family members and caregivers to collaborate and coordinate care.
Research Assistant, 01/1996 to 01/2003
Company Name – City, State
  • Wrote and edited data collection forms and questionnaires.
  • Conducted meticulous research to identify information and answer multifaceted questions.
  • Planned, modified and executed research techniques, procedures and tests.
  • Collaborated with leadership team to identify relevant questions and determine best methods of collection.
  • Validated incoming data to check information accuracy and integrity while independently locating and correcting concerns.
  • Summarized search results by preparing written reports, graphs, fact sheets and tables.
  • Analyzed statistical data using both modern and traditional methods.
  • Organized paperwork, including participant-informed consent waivers and research scope documentation.
Education
M.D.: 05/1986
Universidad Central Del Este
Bachelor of Arts: Pre-Medicine, 05/1982
Rutgers, The State University Of New Jersey - City
Certifications
  • Certified Medical Assistant
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Resume Overview

School Attended

  • Universidad Central Del Este
  • Rutgers, The State University Of New Jersey

Job Titles Held:

  • Patient Navigator
  • Certified Medical Assistant
  • Patient Service Representative
  • Research Assistant

Degrees

  • M.D. : 05/1986
    Bachelor of Arts : Pre-Medicine , 05/1982

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