FINANCIAL SCREENING NAVIGATOR

COOPER PEDIATRICS; Camden (NJ); On-site; USD 45,000 - 60,000; Full time

Job summary

Cooper University Health Care is seeking a Revenue Cycle Billing Specialist to screen uninsured and underinsured patients before services and to manage referrals, patient histories, and eligibility options. The role supports inpatient and outpatient services, including office visits and diagnostics.

Required 2 years in healthcare revenue cycle billing with experience in health insurance plans and Medicaid preferred.

Qualifications

• 2 years experience in healthcare revenue cycle billing and reimbursement.
• Experience with NJ Charity Care and Medicaid preferred.
• Proficiency in MS Office Word, Excel and PowerPoint.

Responsibilities

• Navigates and completes financial referrals for all uninsured and underinsured patients.
• Reviews patient history involving past illnesses, treatment locations, diagnoses and final outcomes.
• Assesses patient financial status and explores third party liability options (e.g., Charity Care, Medicaid, SEED Program, Victims of Crime, grants).
• Explains NJ State Presumptive Eligibility and CMS Insurance Marketplace options to patients.
• Helps patients with new health coverage to understand their benefits and use them appropriately for primary care and preventive services.
• Generates patient liability estimates and provides to patients.
• Collects patient liability payments and/or establishes payment arrangements.
• Provides clear and concise documentation in systems.
• Communicates daily with internal customers, providers and patients.

Skills

Healthcare revenue cycle

Communication

Medical terminology

MS Office

Education

High School Diploma

Tools

EPIC

IDX Flowcast

Healthquest

Job description

About us

AtCooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development.

Discover why Cooper University Health Care is the employer of choice in South Jersey.

Short Description

Financially screens uninsured and underinsured patients prior to inpatient and outpatient services, including office visits, testing, diagnostic studies, surgeries and procedures. Financial screening process encompasses any or all of the following job functions:

• Navigates and completes financial referrals for all uninsured and underinsured patients.
• Reviews patient history involving past illnesses, treatment locations, diagnoses and final outcomes.
• Assesses patient financial status and explores all third party liability options (e.g., Charity Care, Disability, Medicaid, SEED Program, Victims of Crime, grants) to assist patients.
• Explains NJ State Presumptive Eligibility and CMS Insurance Marketplace options to patients.
• Helps patients with new health coverage to understand their benefits and use them appropriately for primary care and preventive services.
• Generates patient liability estimates and provides to patients.
• Collects patient liability payments and/or establishes payment arrangements.

Provides clear and concise documentation in systems.

Communicates daily with internal customers, providers and patients.

Experience Required

2 years experience in healthcare revenue cycle billing and reimbursement, working specifically with health insurance plans and products, NJ Charity Care and Medicaid preferred.

Experience with EPIC, IDX Flowcast and Healthquest systems preferred.

Basic knowledge of medical terminology, continuity of care protocols and coding principles.

Proven ability to effectively interact with and provide service excellence to patients, clinicians, physicians and administrators.

Education Requirements

High School Diploma required.

License/Certification Requirements

Detail oriented with the ability to multi-task using multiple information systems.

Proficiency in use of MS Office Word, Excel and Power Point.

Ability to organize, take independent action and project Cooper values to customers and

co-workers.