Patient Navigator
Baylor College of Medicine
Houston, TX
Job posting number: #7370842 (Ref:26166-en_US)
Posted: September 18, 2026
Job Description
Summary
The Department of Ophthalmology is looking for a Patient Navigator to join their PROSE service line. This position coordinates appointments and facilitates communication between patients and the Ophthalmology providers. The Patient Navigator works collaboratively with physicians, advanced practice providers, nursing staff, and administrative teams to enhance the patient experience and support optimal clinical outcomes.
The ideal candidate will possess previous experience working with insurance carriers, benefits verification, and prior authorization requirements.
This position is located at our Jamal location.
Job Duties
- Schedules, coordinates and confirms appointments for the patient and facilitate communication among patients, providers, and multidisciplinary care teams.
- Provides information regarding insurance requirements
- Ensures patient eligibility and insurance benefits prior to scheduled appointments.
- Verifies insurance coverage through Availity, payer portals, or by contacting insurance companies directly.
- Obtains prior authorizations before ordering devices or contact lenses.
- Manages claim denials by reviewing, appealing, and resolving rejected or denied claims.
- Ensures all self-pay balances are collected before patients receive devices or contact lenses.
- Collects patient payments and process transactions accurately.
- Posts charges in Epic daily.
- Reviews guarantor accounts to verify the accuracy of charges and billing
- Tracks referrals, diagnostic results, and follow-up appointments to ensure continuity of care.
- Performs other duties as assigned
Minimum Qualifications
- High School diploma or GED.
- Four years of relevant experience.
Preferred Qualifications
- Experience in an Ophthalmology practice and or PROSE experience.
Work Authorization Requirement:
This position is not eligible for visa sponsorship. Candidates must be legally authorized to work in the United States at the time of application and throughout the duration of employment.
Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.
Baylor College of Medicine fosters diversity among its students, trainees, faculty and staff as a prerequisite to accomplishing our institutional mission, and setting standards for excellence in training healthcare providers and biomedical scientists, promoting scientific innovation, and providing patient-centered care. - Diversity, respect, and inclusiveness create an environment that is conducive to academic excellence, and strengthens our institution by increasing talent, encouraging creativity, and ensuring a broader perspective. - Diversity helps position Baylor to reduce disparities in health and healthcare access and to better address the needs of the community we serve. - Baylor is committed to recruiting and retaining outstanding students, trainees, faculty and staff from diverse backgrounds by providing a welcoming, supportive learning environment for all members of the Baylor community.
