What are the responsibilities and job description for the Patient Financial Navigator position at OSF HealthCare?
Overview:
Monday - Friday 7:30 am - 4:00 pm
POSITION SUMMARY: 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.
Qualifications:
PREFERRED QUALIFICATIONS: Education: Bachelor's Degree in Business Administration or Healthcare related field Experience: Experience in patient registration, patient accounts, patient finance, insurance benefits, financial assistance programs, public health, social services, or other community based background 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 Licensure/Certifications: HFMA CRCR Certification
OSF HealthCare is an Equal Opportunity Employer.
This job is located in Rockford, IL
Monday - Friday 7:30 am - 4:00 pm
POSITION SUMMARY: 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.
REQUIRED QUALIFICATIONS: Experience: 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 Other skills/knowledge: 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.
PREFERRED QUALIFICATIONS: Education: Bachelor's Degree in Business Administration or Healthcare related field Experience: Experience in patient registration, patient accounts, patient finance, insurance benefits, financial assistance programs, public health, social services, or other community based background 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 Licensure/Certifications: HFMA CRCR Certification
OSF HealthCare is an Equal Opportunity Employer.
