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Patient Financial Navigator I Home Health and Hospice
About the position
The Patient Financial Navigator ensures that each patient has a complete and accurate OSF medical record, which includes patient demographics, insurance coverage, responsible guarantor, and registration precision in a manner which the patient understands the services they are receiving, their financial responsibilities for the services provided, and expectations of them pre and post service. Financial education will be provided to patients to provide clarity regarding their estimated out of pocket expenses and assistance with bill pay options. The Patient Financial Navigator is expected to be knowledgeable on payment alternatives, grants, programs, and any other type of assistance to educate and support the patient on their financial options. This involves determining a patient's payer source including, but not limited to, obtaining authorization from the payer which includes identifying if services need an authorization, referral, or pre-determination as well as if the procedure is a covered benefit, if the payer is out of network, and be able to assist the patient who has questions on an existing bill or invoice. They must be capable of communicating clearly and concisely, both verbally and in writing, with peers, supervisors, payors, physicians, patients, and other departments.
Responsibilities
- Ensures that each patient has a complete and accurate OSF medical record, including patient demographics, insurance coverage, responsible guarantor, and registration precision.
- Educates patients on services they are receiving, their financial responsibilities, and pre/post service expectations.
- Provides financial education to patients regarding estimated out-of-pocket expenses and bill pay options.
- Educates and supports patients on payment alternatives, grants, programs, and other financial assistance options.
- Determines a patient's payer source, including obtaining authorization from the payer.
- Identifies if services require authorization, referral, or pre-determination.
- Verifies if procedures are covered benefits and if the payer is out of network.
- Assists patients with questions regarding existing bills or invoices.
- Communicates clearly and concisely, both verbally and in writing, with peers, supervisors, payors, physicians, patients, and other departments.
Requirements
- Associate's Degree and one year of customer service/relations experience; or High School Diploma and 2 years' experience in a call center, healthcare, and/or public health setting.
- Excellent interpersonal and communication skills.
- Solid computer skills, including proficiency with Microsoft software.
- Strong analytical and problem solving skills.
- Ability to be detail oriented.
Nice-to-haves
- Bachelor's Degree in Business Administration or Healthcare related field.
- Experience in patient registration, patient accounts, patient finance, insurance benefits, financial assistance programs, public health, social services, or other community based background.
- Experience in medical billing, including working with insurance companies, third party administrators and collections with emphasis on customer phone contact.
- Advanced knowledge of CTP4, ICD 10, HCPCS and modifiers.
- Knowledge of medical terminology.
Benefits
- Comprehensive and market-competitive total rewards package
- Benefits, compensation, recognition and well-being offerings
- Focus on the whole person and engage with their current stage of life and career
