Patient Financial Navigator I Single Billing Office

OSF HealthCare; Peoria (IL); Hybrid; USD 29,000 - 34,000; Full time

Job summary

OSF HealthCare is seeking a Patient Financial Navigator to ensure complete and accurate patient records, including coverage and guarantor details, while educating patients on financial responsibilities for services received. The role emphasizes clear communication with patients and payors and requires strong problem-solving in a healthcare billing context.

This hourly position, with on-site training in Peoria, offers potential for remote work after 90 days based on performance and on-site

Qualifications

• Associate's Degree and one year of customer service/relations experience; or High School Diploma and 2 years' experience in a call center, healthcare, and/or public health setting.
• Excellent interpersonal and communication skills. Proficiency with Microsoft software. Strong analytical and problem solving skills, with attention to detail.
• Bachelor's Degree in Business Administration or Healthcare related field preferred. Experience in patient registration, accounts, finance, or insurance benefits is a plus.

Responsibilities

• Maintain accurate OSF medical records including demographics, insurance coverage and guarantor information.
• Educate patients on estimated out-of-pocket expenses and bill payment options.
• Assist patients with authorization, referrals, pre-determination, and payer questions; communicate with payors and hospital departments.

Skills

Customer service

Communication

Interpersonal skills

Analytical thinking

Detail oriented

Education

Associate's Degree

High School Diploma

Bachelor's Degree

Tools

Microsoft Office

Medical billing software

Job description

Total Rewards

OSF HealthCare is dedicated to provide Mission Partners with a comprehensive and market-competitive total rewards package that includes benefits, compensation, recognition and well-being offerings that focus on the whole person and engage with their current stage of life and career. Click here to learn more about benefits and the total rewards at OSF.

Expected pay for this position is $20.71 - $24.37/hour. Actual pay will be determined by experience, skills and internal equity. This is an Hourly position.

Overview

Candidate must reside in IL or MI. Possible work from home after completion of onsite 90 day training in Peoria.

POSITION SUMMARY:

The Patient Financial Navigator ensures that each patient has a complete and accurate OSF medical record, which includes patient demographics, insurance coverage, responsible guarantor, and registration precision in a manner which the patient understands the services they are receiving, their financial responsibilities for the services provided, and expectations of them pre and post service. Financial education will be provided to patients to provide clarity regarding their estimated out of pocket expenses and assistance with bill pay options. The Patient Financial Navigator is expected to be knowledgeable on payment alternatives, grants, programs, and any other type of assistance to educate and support the patient on their financial options. This involves determining a patient's payer source including, but not limited to, obtaining authorization from the payer which includes identifying if services need an authorization, referral, or pre-determination as well as if the procedure is a covered benefit, if the payer is out of network, and be able to assist the patient who has questions on an existing bill or invoice. They must be capable of communicating clearly and concisely, both verbally and in writing, with peers, supervisors, payors, physicians, patients, and other departments.

Qualifications

REQUIRED QUALIFICATIONS:

Experience: Associate's Degree and one year of customer service/relations experience; or High School Diploma and 2 years' experience in a call center, healthcare, and/or public health setting.

Other skills/knowledge: Excellent interpersonal and communication skills. Solid computer skills, including proficiency with Microsoft software. Strong analytical and problem solving skills, with the ability to be detail oriented.

PREFERRED QUALIFICATIONS:

Education: Bachelor's Degree in Business Administration or Healthcare related field.

Experience: Experience in patient registration, patient accounts, patient finance, insurance benefits, financial assistance programs, public health, social services, or other community based background. Experience in medical billing, including working with insurance companies, third party administrators and collections with emphasis on customer phone contact. Advanced knowledge of CTP4, ICD 10, HCPCS and modifiers. Knowledge of medical terminology.

OSF HealthCare is an Equal Opportunity Employer.