Patient Financial Navigator

Brown-University-Health-1; Fall River (MA); On-site; USD 52,000 - 74,000; Full time

Job summary

Brown University Health in Fall River, MA seeks a Patient Financial Counselor to act as liaison between BUHCI, patients, and families to determine patient responsibility and secure resources for medical expenses. You will verify coverage, obtain authorizations, and assist with the insurance denial process while upholding the organization’s values of compassion and excellence.

The role involves negotiating payment plans, advising on available resources, and collaborating with physicians and staff

Qualifications

• Knowledge of third-party coverage and prior authorization processes.
• Interpersonal skills to communicate with patients, families, and providers.
• Ability to operate a computer and maintain records and reports.
• Strong medical terminology knowledge (CPT/ICD).

Responsibilities

• Advocate with patients and families to resolve outstanding accounts.
• Negotiate payment plans and advise on resources available for payment.
• Verify insurance coverage and obtain authorizations.
• Coordinate denials management and appeals with insurers.
• Assist with scheduling and managing documents related to billing and referrals.

Skills

Third-party coverage knowledge

Prior authorization experience

Interpersonal communication

Computer literacy

Medical terminology CPT/ICD knowledge

Job description

Brown University Health in Fall River, MA seeks a Patient Financial Counselor to act as liaison between BUHCI, patients, and families to determine patient responsibility and secure resources for medical expenses. You will verify coverage, obtain authorizations, and assist with the insurance denial process while upholding the organization’s values of compassion and excellence.

The role involves negotiating payment plans, advising on available resources, and collaborating with physicians and staff