Insurance & Billing Navigator

Mount Sinai; New York (NY); On-site; USD 38,000 - 55,000; Full time

Job summary

The Mount Sinai Health System is seeking a Financial Coordinator responsible for verifying insurance benefits, determining patient liability, and coordinating payment of uncovered medical expenses. The role supports patients with insurance and payment issues and resolves problems to ensure timely, accurate processing.

Responsibilities include obtaining authorizations, referrals, and communicating potential out-of-pocket costs while arranging payment plans as needed.

Qualifications

• Associates degree in related field; Bachelor’s preferred or combine experience and education.
• 1+ year medical insurance experience (greater preferred) including medical office administration, benefit verification

Responsibilities

• Obtains and verifies patients insurance benefit information from insurance companies or private payers regarding coverage for services.
• Obtains all necessary payer authorizations and acquires all required referrals for services to be provided.
• Negotiates modifies rates with carriers.
• Communicates and informs patients of any potential patient out-of-pocket liability, and works out payment plans as necessary.
• May provide resources to bridge the gap between insurance coverage and patients liability if necessary.
• Assists patients with questions or problems regarding insurance coverage and other financial matters.
• Assists in the resolution of any patient billing issues.
• Confirms patients coverage information previously obtained from insurance companies or private payers to ensure accuracy and that there has been no change in coverage since initial confirmation.
• Maintains and completes all insurance assessment forms and agreements and ensures they are accurate for claims processing.
• Performs other related duties.

Skills

Medical insurance experience

Benefit verification

Education

Associates degree in related field

Bachelor’s degree preferred

Job description

The Mount Sinai Health System is seeking a Financial Coordinator responsible for verifying insurance benefits, determining patient liability, and coordinating payment of uncovered medical expenses. The role supports patients with insurance and payment issues and resolves problems to ensure timely, accurate processing.

Responsibilities include obtaining authorizations, referrals, and communicating potential out-of-pocket costs while arranging payment plans as needed.