Job Description
Job Description
A Day in the Life of a Financial Navigator Manager :
The Financial Navigator trains and develops the team, managing the daily operations of the department. The manager is responsible for reviewing all screenings and applications for financial assistance for completeness and eligibility, ensuring compliance. The manager will collaborate regularly with other organizational departments including registration, case management, HIM, and billing. This role will work continuously to streamline workflows and improve processes for their team, bringing ideas forward that will ensure the promotion of CRMC's TrueCare Standards, in providing patient focused, compassionate care. The Financial Navigator Manager will provide operational leadership, promote and participate in LEAN practices, and have budget responsibilities.
Why Work at Cheyenne Regional?
- ANCC Magnet Hospital
- 403(b) with 4% employer match
- 21 PTO days per year (increases with tenure)
- Education Assistance Program
- Employer Sponsored Wellness Program
- Employee Assistance program
- Loan Forgiveness Eligible
Here Is What You Will Be Doing :
Trains, develops, and manages the daily operations of the Financial Navigator across multiple geographical locations, providing exceptional patient service through guidance on eligibility screening, assists staff in the application process for health insurance coverage, financial assistance, and other consumer assistance programs, ensuring compliance with all applicable regulation, policies, and procedures.Reviews, completes, and assists in approving Financial Assistance applications within required guidelines to facilitate patient billing in accordance with federal regulations.Works within the electronic health record (EHR) to qualify patients on payer source and assists with generalize billing questions to achieve department revenue goals. Ensures the EHR is working to optimize experience for our patients and looks consistently improve technology.Works throughout the Revenue Cycle; adding, updating, and communicating issues to ensure proper recording and managing patient accounts and identifying potential patients for community plans while maintaining a high level of patient experience.Streamlines processes with Patient Access, Call Center, Case Management, and clinics to assist in establishing patient community and payor benefits for follow-on care and assistance with previous healthcare costs.Serves as subject matter expert on understanding enrollment for Marketplace, Medicaid plans, and community benefits.Maintains Financial Assistance application, policies, signage, and organizational website according to policy and regulations.Ensures patient public benefit applications are routed to the correct locations, timely accurately, and communication with the patient is maintained to meet specified goals.Establishes for approval department KPI’s and metrics within the department and mentors staff to achieve required goals.Provides operational leadership and has budget responsibilities. Adheres to established leadership competencies, service standards and reinforces excellence in those standards with subordinates.Promotes and participates in LEAN practices and strategies. Ensures Lean fundamentals are maintained to meet organizational communication, processes and procedures.Desired Skills :
Ability to work a flexible scheduleAdvanced knowledge of health insurance options and public benefits including, but not limited to Medicaid, Medicare, Health Insurance Marketplace, SNAP, WIC, SSI, and SSDIKnowledge of the health insurance industry and their products including the ability to distinguish a qualified health plan (QHP) from a non-qualified health planAbility to explain how health insurance works in a manner that consumers understandKnowledge of the state, local, and federal social services agencies and programsExcellent interpersonal communication and customer service skillsAbility to listen to consumer needs and probe to identify gaps in services and make referrals or provide assistance accordinglyAbility to prioritize and re-prioritize according to consumer needs and needs of the CRMC organizationAbility to pay close attention to detail and multitaskHigh initiative and ability to work with minimal supervisionAbility to collaborate and work cooperatively with a wide variety of community organizations and individualsKnowledge of, or ability to obtain in-depth understanding of HIPAA, COBRA, Patient Rights, EMTALA, Compliance and Privacy / Security laws as applicableHighly developed organizational and public speaking skillsExtensive knowledge of and skill in using computer software, including Microsoft Office and database programsAbility to maintain high ethical standards and confidentialityHere Is What You Will Need :
Bachelor’s degree or highero Or, five (5) or more years of experience in public health and social services
Three (3) or more years of experience in patient finance, insurance benefits, financial assistance programs in a healthcare setting or a combination public health, social services, or other relevant work experience30 Days : Federally facilitated Health Insurance Marketplace certificate within 30 days of start date30 Days : SOAR certificate within 30 days of start dateNice To Have :
Bi-lingual in Spanish / EnglishAbout Cheyenne Regional
Cheyenne Regional Medical Center was founded in 1867 as a tent hospital by the Union Pacific Railroad to treat workers injured while building the transcontinental railroad. Today, we are the largest hospital in the state of Wyoming, employing over 2,000 people, and treating over 350,000 patients from southeastern Wyoming, western Nebraska, and northern Colorado. We pride ourselves on patient and employee experience by living our core values of I ntegrity, Cari n g, Compa s sion, Res p ect, Serv i ce, Teamwo r k and E xcellence to I.N.S.P.I.R.E. great health.
Our team makes a difference every day by providing trusted healthcare expertise through a passionate and I.N.S.P.I.R.E.(ing) approach with a personal touch. By living our values, we aim to achieve our goal of becoming a 5-star rated hospital, providing critical support and resources to our community and the greater region we serve. If you are eager to make a difference and passionate about healthcare, we encourage you to apply today!
