Patient Financial Navigator

Atrium Health

Charlotte (NC)

On-site

USD 48,000 - 71,000

Full time

9 days ago

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Benefits offered by this job

Health benefits
Paid time off
Educational assistance
Retirement plans

Job summary

Advocate Health seeks a billing professional to coordinate and manage billing and collections for all payor types. You will liaison with physician offices, monitor accounts, rebill as needed, and follow up on claims to maximize reimbursement.

You will research insurance benefits and discuss options with patients, helping them develop financial plans and overcome out-of-pocket costs. Experience with Excel, IDX, and hospital billing systems is desirable.

Qualifications

  • Bachelor's degree in Accounting, Finance or related field or 5 years of insurance related experience required.
  • 1-2 years of reimbursement experience in a hospital setting is preferred.

Responsibilities

  • Coordinates and manages the billing and collection functions for all payor types.
  • Notifies physician offices of contract periods, identifies and monitors accounts, determines correct reimbursement, rebills claims as necessary, followings up on claim status, performs regular account maintenance, collects and distributes payments appropriately.
  • Researches insurance benefits, options and potential patient financial needs and discusses findings with patients and their families.
  • Develops a financial plan with patients and their families.
  • Works with patients and develops resolutions to potential patient financial out-of-pocket exposure and helps them plan and overcome these obstacles.
  • Obtains all necessary payer authorizations.
  • Verifies and monitors coverage and other medical benefits and acquires necessary referrals and authorizations.
  • Ensures that all payor approvals are current at all times.

Skills

Billing coordination
Communication skills
Time management
Interpersonal skills

Education

Bachelor's degree in Accounting/Finance or related field
5 years of insurance-related experience

Tools

Microsoft Excel
Microsoft Word
IDX experience
STAR
Hospital billing systems

Job description

Advocate Health seeks a billing professional to coordinate and manage billing and collections for all payor types. You will liaison with physician offices, monitor accounts, rebill as needed, and follow up on claims to maximize reimbursement.

You will research insurance benefits and discuss options with patients, helping them develop financial plans and overcome out-of-pocket costs. Experience with Excel, IDX, and hospital billing systems is desirable.

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