Patient Financial Navigator

Lifespan; Providence (RI); On-site; USD 29,000 - 48,000; Full time

Job summary

Brown University Health is seeking a skilled Financial Advocate to act as a liaison between patients, families and the health system to determine patient responsibility and secure available resources for medical expenses.

The role involves verifying insurance coverage, obtaining referrals and pre-authorizations, and assisting with public assistance applications. Collaboration with physicians and staff is essential to resolve billing issues and denials.

Qualifications

• Knowledge of third-party coverage, prior authorization processes and referrals.
• Ability to communicate with patients, families, and payers effectively.
• Strong medical terminology and CPT/ICD familiarity.
• Proficient computer skills to access information and maintain records.

Responsibilities

• Advocates for patients and families to resolve outstanding accounts and arrange payment plans.
• Verifies and secures coverage authorizations for referrals, medications, and procedures.
• Coordinates pre-authorizations and insurance denials with insurance carriers and providers.
• Identifies resources for public assistance and assists with eligibility documentation.
• Reviews eligibility, authorizations, denials and writes-offs in collaboration with Brown University Health staff.

Skills

Third-party coverage

Interpersonal skills

Computer literacy

Medical terminology

Job description

Brown University Health is seeking a skilled Financial Advocate to act as a liaison between patients, families and the health system to determine patient responsibility and secure available resources for medical expenses.

The role involves verifying insurance coverage, obtaining referrals and pre-authorizations, and assisting with public assistance applications. Collaboration with physicians and staff is essential to resolve billing issues and denials.