Patient Financial Navigator

TMH The Miriam Hospital; United States; On-site; USD 29,000 - 48,000; Full time

Job summary

Brown University Health seeks a patient financial advocate to determine each patient’s financial responsibility and secure available resources. You will verify insurance coverage, obtain authorizations, and coordinate with insurers and providers to resolve billing issues.

The role requires strong communication skills, familiarity with public assistance programs, and the ability to manage high volumes of prior authorizations in a hospital setting.

Qualifications

• Knowledge of third-party coverage, prior authorization, referrals and related processes.
• Familiarity with state and federal resources for public assistance and appeals.
• Strong interpersonal skills to communicate with patients, families, providers and payers.
• Ability to operate a computer and maintain accurate records and reports.
• Working knowledge of CPT/ ICD coding and registration information.
• Excellent organizational skills to manage high volumes of prior authorizations.
• Analytical capability to assess workflow and identify improvements.

Responsibilities

• Advocate for patients and families to resolve outstanding accounts.
• Arrange payment plans and advise on available resources and options.
• Interview patients regarding financial status to promote eligibility for assistance.
• Coordinate with legal aid and public benefits as needed.
• Assist in gathering documentation for public programs and appeals.
• Verify insurance coverage and obtain pre-authorizations for services.
• Determine patient responsibility and communicate it clearly.
• Ensure referrals and PCP accuracy; review referrals and pre-authorizations.
• Collaborate with providers to obtain prior authorizations for denied services.
• Coordinate information to manage insurance denials and billing issues.
• Participate in meetings and contribute suggestions for process improvements.
• Perform supporting duties such as registering patients and scheduling.

Skills

Knowledge of third-party coverage

Prior authorization process

Referrals

Interpersonal communication

Computer literacy

Job description

Brown University Health seeks a patient financial advocate to determine each patient’s financial responsibility and secure available resources. You will verify insurance coverage, obtain authorizations, and coordinate with insurers and providers to resolve billing issues.

The role requires strong communication skills, familiarity with public assistance programs, and the ability to manage high volumes of prior authorizations in a hospital setting.