Patient Financial Navigator

Brown University Health; Providence (RI); On-site; USD 29,000 - 48,000; Full time

Job summary

Brown University Health seeks a diligent patient financial advocate to help determine patient cost shares and connect families with resources for medical expenses. You will verify coverage, obtain authorizations, and coordinate with insurers to drive financial clearance for care.

Role requires strong knowledge of third-party coverage, CPT/ICD terminology, and ability to work with patients, families and providers to resolve billing issues and denials.

Qualifications

• Knowledge of third-party coverage, prior authorization process, referrals, etc.
• Familiarity with forms and documents necessary to file appeals on denied claims.
• Strong medical terminology knowledge including CPT and ICD, with good registration information.

Responsibilities

• Advocate for patients and families to resolve outstanding accounts.
• Negotiate payment plans and advise on available resources.
• Interview patients regarding financial and dependency status to promote eligibility for assistance.
• Coordinate with physicians and staff to obtain prior authorizations and resolve denials.
• Verify insurance coverage and determine patient responsibility for services.
• Discuss referrals and eligibility with carriers and ensure documentation is complete.

Skills

Third-party coverage knowledge

Prior authorization process

Medical terminology (CPT/ICD)

Analytical skills

Organizational skills

Job description

Brown University Health seeks a diligent patient financial advocate to help determine patient cost shares and connect families with resources for medical expenses. You will verify coverage, obtain authorizations, and coordinate with insurers to drive financial clearance for care.

Role requires strong knowledge of third-party coverage, CPT/ICD terminology, and ability to work with patients, families and providers to resolve billing issues and denials.