Patient Financial Navigator I Procedures and Admissions
OSF HealthCare is dedicated to providing a comprehensive total rewards package for its Mission Partners. The Patient Financial Navigator ensures accurate patient medical records and provides financial education and assistance regarding patients' financial responsibilities and options.
Responsibilities
- Ensure 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
- Provide financial education to patients to provide clarity regarding their estimated out of pocket expenses and assistance with bill pay options
- Determine 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
- Communicate clearly and concisely, both verbally and in writing, with peers, supervisors, payors, physicians, patients, and other departments
Skills
- 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, with the ability to be detail oriented
- 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
Company Overview
Company H1B Sponsorship