Company Statement
Careers at AdvantageCare Physicians: At AdvantageCare Physicians, our providers and care teams reflect our commitment to population health. Improving the health of our patients is our goal; keeping our patients healthy is our commitment. Using our state-of-the-art electronic medical record (EMR) system, our providers, care teams, and practice administration staff work together to deliver high-quality, comprehensive and convenient care to our patients.
To protect the health and safety of our workforce, members, patients, and the communities we serve, AdvantageCare Physicians require all new employees to be fully vaccinated for COVID-19. Exemption/reasonable accommodations may be granted because of 1) a qualifying medical condition or disability that makes getting the vaccine unsafe for the individual, or 2) objection on the basis of sincerely held religious beliefs and/or practices.
Patient Navigator
- 📁
- Patient Services
- 📅
- Jul 27, 2026 Post Date
- 📅
- 1000003286 Requisition #
AdvantageCare Physicians (ACPNY) is a primary and specialty care practice serving half a million patients across the New York metropolitan area. With more than 30 medical offices across New York City's five boroughs and Long Island, ACPNY is continually expanding our practice and enhancing our services for communities throughout New York. As we grow, our employees grow with us.
Summary of Position
- The Patient Navigator is responsible for making the patient experience smoother through coordination and processing of all patient referrals.
- Responsible for claims charge review edits related to the referrals, following protocols for proper authorization and processing of all referrals.
Principal Accountabilities
- Coordinates complex referral authorization requests and determines course of action based on plan guidelines. Consults with Patient Access Manager when appropriate.
- Follows ACP protocols and standing orders for proper authorization and processing of all referrals and completes all administration functions associated with referral activities in a timely manner. Recommends enhanced workflows for referral management.
- Responsible for monitoring all referral reports not received and timely follow-up in accordance with ACP policy and procedure. Recommends enhanced workflows to reduce referral errors and improve referral workflow.
- Monitors daily work queues and work lists generated from PSRs and call teams ensuring compliant referral processing and escalating any issues as appropriate to the manager. Recommends enhanced workflows to reduce referral errors and improve referral workflow.
- Acts as liaison between and advocate for patients. Addresses patient inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Explains policies and procedures to patients and refers them to the proper services required.
- Coordinates payor and group financial negotiations for out of network referrals following ACP, New York State, and payor guidelines for ensuring compliant referral processing.
- Performs other job-related duties as required.
Qualifications
Education, Training, Licenses, Certifications
- High School diploma or GED.
- Bachelor’s Degree in related field Preferred
Relevant Work Experience, Knowledge, Skills, and Abilities
- Minimum of one year of direct experience involving insurance verification, pre authorizations and other patient access functions.
- Experience coordinating referral authorizations.
Pay Disclosure
At AdvantageCare Physicians, we prioritize transparency in our compensation practices. We provide a good faith estimate of the salary range for potential hires, which is based on key factors such as role responsibilities, candidate experience, education and training, internal equity, and market conditions. Please be aware that this estimate doesn’t account for geographic differences related to your work location. Typically, new hires may not start at the top of this range, as compensation is tailored to each individual's circumstances. For union positions, salaries will be determined according to the collective bargaining agreement. Join us at AdvantageCare Physicians, where your contributions are valued and supported by fair compensation.
EEOC Statement
We value the diverse backgrounds, perspectives, and experiences of our workforce. As an equal opportunity employer, we consider all qualified applicants for employment regardless of race, color, religion, sex, sexual orientation, gender identity, pregnancy, marital status, national origin, disability, veteran status, or any other protected characteristic protected by law.