Patient Financial Navigator I Specialty

OSF HealthCare; Peoria (IL); Hybrid; USD 28,000 - 33,000; Full time

Job summary

OSF HealthCare in Illinois is seeking a Patient Financial Navigator to ensure accurate medical records, insurance coverage details, and clear communication of financial responsibilities to patients before and after services. The role involves educating patients on payment options, navigating grants and assistance programs, and explaining payer requirements.

Training occurs at OSF Headquarters in Peoria, with potential transition to remote work after 60 days based on performance.

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. Solid computer skills, including proficiency with Microsoft software.
• Strong analytical and problem solving skills, with the ability to be detail oriented.

Responsibilities

• Ensure patient records are complete with demographics, insurance coverage, and guarantor information.
• Educate patients on estimated out-of-pocket expenses and payment options, including grants and assistance programs.
• Communicate clearly with peers, payors, physicians, patients, and other departments regarding financial responsibilities and payer requirements.

Skills

Interpersonal skills

Communication skills

Microsoft Office

Analytical thinking

Detail oriented

Education

Associate degree

High School diploma

Tools

None

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.

Expected pay for this position is $20.21 - $23.77/hour. Actual pay will be determined by experience, skills and internal equity. This is an Hourly position.

Overview

Candidates in Illinois or Michigan.

Training will be conducted at OSF Headquarters in Peoria. Employees may transition to remote work after completing 60 days of training, subject to satisfactory performance and progress. If performance expectations are not met within that timeframe, the transition to full remote work may be delayed until the required proficiency is demonstrated.

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.