Patient Finance Navigator

NorthShore University HealthSystem; Evanston (IL); On-site; USD 28,000 - 41,000; Full time

Benefits offered by this job

Premium pay

Career pathways

Medical options

Tuition reimbursement

Free parking

Wellness program

HSA options

Retirement plan

PTO & holidays

Community involvement

Job summary

NorthShore University HealthSystem in Evanston, IL is hiring a Financial Counselor to work with patients and representatives to resolve account issues, develop payment plans, and secure payments. You will screen for payer compliance and guide patients through financial assistance options while documenting information in hospital systems.

You will cooperate with departments to develop price estimates, verify benefits, and ensure accurate billing and collections in accordance with CMS guidelines.

Qualifications

• High School graduate or equivalent.
• Bachelor's degree preferred.
• 5 years' experience in patient care setting with knowledge of billing and insurance preferred and progressive work experience in hospital revenue cycle, patient access, insurance verification, financial counseling, billing, collections, or financial assistance is preferred.
• Experience/knowledge relating to State and Federal funded programs.
• Demonstrated expertise in patient insurance and billing.
• Computer knowledge to include Microsoft Word, Excel, Outlook, Access, Power Point.

Responsibilities

• Communicates with patients and their representatives, physicians and their office staff, employers, and ancillary departments to accurately collect and review all required demographic, insurance/financial, and clinical data necessary to expedite payment on patient accounts.
• Receives and reviews all inpatient admission and outpatient services self-pay accounts to determine if a significant deductible or payment is applicable.
• Conducts research in the hospital's utilization software system searching for comparable historical cases to determine self-pay account liability and to construct written estimates for potential customers and physicians.
• Obtains required financial information from patients including identification of payment sources and reviews financial assistance options.
• Negotiates and secures initial co-payments and establishes payment arrangements.
• Collaborates with internal departments and physicians' offices to research and adjudicate outstanding patient account balances and refunds.
• Maintains work queues and completes tasks to manage accounts receivable and meet payer requirements.

Skills

Interpersonal communication

Organization

Telephone etiquette

Guest relations

Education

High school diploma or equivalent

Bachelor's degree preferred

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Microsoft Access

PowerPoint

Job description

NorthShore University HealthSystem in Evanston, IL is hiring a Financial Counselor to work with patients and representatives to resolve account issues, develop payment plans, and secure payments. You will screen for payer compliance and guide patients through financial assistance options while documenting information in hospital systems.

You will cooperate with departments to develop price estimates, verify benefits, and ensure accurate billing and collections in accordance with CMS guidelines.