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. The Patient Financial Navigator ensures that patients understand their medical records, financial responsibilities, and available assistance options regarding their healthcare services.
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
- 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
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
- Up to full introductory period onsite in Peoria or Rockford then transition to home in Illinois or Michigan
Company Overview