Note: The job is a remote job and is open to candidates in USA. OSF HealthCare is dedicated to providing a comprehensive total rewards package to its Mission Partners. The Patient Financial Navigator role involves ensuring patients have accurate medical records and understanding their financial responsibilities, while providing education on payment options and assisting with insurance inquiries.
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
- Be knowledgeable on payment alternatives, grants, programs, and any other type of assistance to educate and support the patient on their financial 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
- 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
- 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 that includes benefits, compensation, recognition and well-being offerings that focus on the whole person and engage with their current stage of life and career.
- Remote work from home position after completion of successful training.
- 90 days of onsite training in Peoria and for other required, rare occasions.
- Occasional in office attendance will be required.
Company Overview