Patient Navigator

Job Summary

Ensures the hospital is collecting patient deductibles and co-pays in an accurate and timely manner. Serves as a resource to patients, families, and employees to discuss financial arrangements and properly explain patient financial obligation. Works 8 hours per day, 5 days per week with the possibility of some overtime as needed for the department. Performs other duties as assigned.

Responsibilities

• Works with patients, families, hospital staff, and representatives from outside agencies to collect deductibles and co-pays, set up payment plans, and evaluate bad debt.
• Assists patients with initiation of the application for Charity Care.
• Serves as a resource to properly explain insurance benefits to patients, families, hospital staff, and representatives from outside agencies as to how they pertain to the services being performed at this facility.
• Understands and complies with regulatory requirements by specific insurance companies and facilitates compliance by maintaining awareness of guidelines and ensuring compliance through communication and documentation to appropriate staff.
• Registers patients accurately, efficiently, and professionally to ensure data base integrity and facilitate claims processing.
• Expedites patient flow through prompt and courteous service.
• Completes assigned annual goals.

Specifications

Experience

Minimum Required

• 3 years of business related office experience with 1 of those years being healthcare related experience.

Preferred/Desired

• 5 years of business experience in a healthcare environment. Front-end collections experience desired.

Education

Minimum Required

• Skill in communicating clearly and effectively using standard English in written, oral, and verbal format to achieve high productivity and efficiency. Skill to write legibly and record information accurately as necessary to perform job duties.

Preferred/Desired

• Associates degree or 2 years of college level courses.

Training

Minimum Required

Preferred/Desired

Special Skills

Minimum Required

• Basic computer skills, ability to perform basic math computation, type 30 words per minute, and problem solving skills. Dealing with confrontational issues and high stress situations with patients, family, and physicians.

Preferred/Desired

• Knowledge of McKesson HBOC applications of cash postings and registration processes. Insurance verification processes using Real Time Eligibility, Passport Communications, and additional on-line verification processes. Knowledge of pre-certification requirements and guidelines.

Licensure

Minimum Required

Preferred/Desired