Patient Financial Navigator I Specialty

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

Job summary

OSF HealthCare is seeking a Patient Financial Navigator. Training occurs at OSF Headquarters in Peoria, IL, with potential transition to remote work after 60 days based on performance.

The role focuses on accurate medical records, financial education, and assisting patients with payment options and insurance details. Responsibilities include payer communications, authorizations, and helping patients understand their financial responsibilities for services rendered.

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 that each patient has a complete and accurate OSF medical record, including demographics, insurance coverage, and registration precision.
• Educate patients on estimated out-of-pocket expenses and bill pay options.
• Assist with payer source determination, authorizations, referrals, and pre-determinations.
• Communicate clearly with peers, supervisors, payors, physicians, patients, and other departments.

Skills

Interpersonal skills

Communication skills

Computer skills

Analytical thinking

Problem solving

Customer service experience

Education

Associate's Degree

High School Diploma

Bachelor's Degree in Business Administration or Healthcare

Tools

Microsoft Office

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. to learn more about benefits and the total rewards at OSF.

Expected Pay

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.


• Other skills/knowledge: Solid computer skills, including proficiency with Microsoft software.


• Other skills/knowledge: 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.


• Experience: Advanced knowledge of CTP4, ICD 10, HCPCS and modifiers.


• Experience: Knowledge of medical terminology.

OSF HealthCare is an Equal Opportunity Employer.