Patient Financial Navigator

Swope Heath; Kansas City (MO); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Health benefits

401(k) plan with company match

Life insurance & disability

Paid time off

Paid holidays

Job summary

Swope Health in Kansas City is seeking a Financial Counselor to help patients navigate insurance benefits, determine eligibility, and access financial assistance programs. You will explain bills, collect payments, and set up affordable payment plans with empathy and accuracy.

In this role you verify coverage, document decisions in the EHR, and coordinate with registration, billing, and clinical teams to support patient access.

Qualifications

• High school diploma or equivalent.
• Minimum of 2 years of experience in healthcare financial counseling, medical billing, insurance verification, or a related field.
• Knowledge of Medicaid, Medicare, commercial insurance, and Marketplace plans.
• Strong communication, customer service, and problem-solving skills.

Responsibilities

• Provide clear, compassionate guidance to patients regarding insurance benefits, out-of-pocket costs, and available financial assistance programs.
• Assist patients with completing applications for Medicaid, Marketplace plans, sliding fee discounts, and other assistance programs.
• Explain billing statements, charges, and payment options in a patient-friendly manner.
• Verify insurance coverage, benefits, and authorization requirements prior to services.
• Communicate coverage limitations or financial obligations to patients and clinical staff.
• Maintain accurate documentation of eligibility determinations and patient interactions.
• Establish payment plans in accordance with Swope Health policies.
• Collect co-pays, deductibles, and outstanding balances while maintaining professionalism and sensitivity.
• Identify and escalation complex financial issues to leadership as needed.
• Ensure all activities comply with HIPAA, HRSA guidelines, federal and state regulations, and payer requirements.
• Maintain accurate, timely, and complete documentation in the electronic health record (EHR) and billing systems.
• Participate in audits, quality reviews, and process improvement initiatives.
• Work closely with registration, billing, clinical teams, and community outreach staff to support seamless patient access.
• Provide exceptional customer service that reflects Swope Health's mission and values.
• Participate in staff meetings, training sessions, and cross-functional initiatives.

Skills

Communication

Customer service

Problem solving

Education

High school diploma or equivalent

Associate degree (Business / Healthcare Administration / Social Services)

Job description

Swope Health in Kansas City is seeking a Financial Counselor to help patients navigate insurance benefits, determine eligibility, and access financial assistance programs. You will explain bills, collect payments, and set up affordable payment plans with empathy and accuracy.

In this role you verify coverage, document decisions in the EHR, and coordinate with registration, billing, and clinical teams to support patient access.