Patient Financial Navigator

Cape Fear Valley Health; Northern (KY); Hybrid; USD 36,000 - 54,000; Full time

Job summary

Cape Fear Valley Health in Raeford, NC is seeking a Financial Counselor to support preadmission, admission and add-on procedures. You will interview patients, verify insurance, and determine eligibility to ensure accurate financial clearance.

The role involves collecting payments, explaining coverage, initiating payment arrangements, and documenting transactions in the patient accounting system. A CPAS certification within 1 year is required, with an associate degree preferred.

Qualifications

• High school graduate; associates preferred.
• CPAS certification required within 1 year of employment.
• 1 year insurance/clerical experience in hospital or medical office.
• Proficient in English and MS Office; strong communication skills.

Responsibilities

• Interview patients and discuss financial responsibilities and payment options.
• Verify insurance eligibility and benefits using EDI, web tools, or payer calls.
• Determine pre-certifications and obtain necessary authorizations.
• Pre-register patients with demographic and financial data; update records.
• Collect co-pays and balances; arrange payment plans as needed.
• Communicate with physicians for clarifications; document actions in system.
• Assist with insurance denials management and follow-ups as needed.

Skills

English proficiency

Insurance knowledge

Medical terminology

Customer service

Problem solving

Education

Associates Degree in Business or Health Care Administration

CPAS certification

Tools

Microsoft Office

Job description

Cape Fear Valley Health in Raeford, NC is seeking a Financial Counselor to support preadmission, admission and add-on procedures. You will interview patients, verify insurance, and determine eligibility to ensure accurate financial clearance.

The role involves collecting payments, explaining coverage, initiating payment arrangements, and documenting transactions in the patient accounting system. A CPAS certification within 1 year is required, with an associate degree preferred.