Patient Financial Navigator

LCS Lifespan Corporate Services d/b/a Brown University Health; United States; On-site; USD 26,000 - 43,000; Part time

Job summary

Brown University Health is seeking a Financial Counselor to act as a liaison between the hospital and patients, facilitating resolution of financial issues for outpatient and inpatient services at The Miriam Hospital, Providence, RI.

The role emphasizes Compassion, Accountability, Respect, and Excellence, with focus on HIPAA compliance and accurate insurance verification, pre-admission processes, payments collection, and coordination with Patient Advocates as needed.

Qualifications

• Two years in a hospital environment with experience in third party payer verification and authorization.
• Understanding of payer contracts and HIPAA rules and regulations.
• Knowledge of medical terminology and standard computer applications.

Responsibilities

• Pre-admits/registers scheduled outpatients and inpatients in hospital system.
• Contacts insured patients to verify demographics and complete missing information.
• Verifies patient insurance coverage (primary and secondary) online or by phone.
• Obtains and verifies coverage for scheduled and unscheduled patients, including MSP and other sources.
• Ensures referrals are obtained and confirms PCP accuracy.
• Determines patient portion of payment and arranges for payment prior to services.
• Updates status of financial clearance activities in hospital system.
• Monitors in-house accounts for open balances and follows prepayment policies.
• Performs other duties to support department operations.

Skills

Payer verification

HIPAA training

Communication

Education

High School Diploma

Tools

Microsoft Office

Job description

Brown University Health is seeking a Financial Counselor to act as a liaison between the hospital and patients, facilitating resolution of financial issues for outpatient and inpatient services at The Miriam Hospital, Providence, RI.

The role emphasizes Compassion, Accountability, Respect, and Excellence, with focus on HIPAA compliance and accurate insurance verification, pre-admission processes, payments collection, and coordination with Patient Advocates as needed.