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Role Description

This is a remote work from home position, must reside in IL. Would need to be able to travel to the office for 90 days of onsite training in Peoria and for other required, rare occasions. Occasional in office attendance will be required. Position transitions to work from home after completion of successful training.

The Patient Financial Navigator ensures that each patient has a complete and accurate OSF medical record, which includes:

• Patient demographics
• Insurance coverage
• Responsible guarantor
• Registration precision

This is done in a manner which helps the patient understand:

• The services they are receiving
• Their financial responsibilities for the services provided
• Expectations of them pre and post service

Financial education will be provided to patients to clarify:

• Estimated out of pocket expenses
• Assistance with bill pay options

The Patient Financial Navigator is expected to be knowledgeable on:

• Payment alternatives
• Grants
• Programs
• Any other type of assistance to educate and support the patient on their financial options

This involves determining a patient's payer source, including:

• Obtaining authorization from the payer
• Identifying if services need an authorization, referral, or pre-determination
• Determining if the procedure is a covered benefit
• Assisting the patient with 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
• Other departments

Qualifications

• 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.

Requirements

• Bachelor's Degree in Business Administration or Healthcare related field (preferred).
• Experience in patient registration, patient accounts, patient finance, insurance benefits, financial assistance programs, public health, social services, or other community based background (preferred).
• Experience in medical billing, including working with insurance companies, third party administrators and collections with emphasis on customer phone contact (preferred).
• Advanced knowledge of CTP4, ICD 10, HCPCS and modifiers (preferred).
• Knowledge of medical terminology (preferred).

Benefits

• Comprehensive and market-competitive total rewards package.
• Focus on the whole person and engage with their current stage of life and career.
• Expected pay for this position is $20.21 - $23.77/hour.
• Actual pay will be determined by experience, skills and internal equity.
• This is an Hourly position.