Patient Financial Navigation Specialist
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Job Description
Patient Financial Navigation Specialist assisting patients with their financial healthcare needs. Evaluating insurance benefits and support options in a remote setting.
Responsibilities:
- Evaluate patient financial situations and guide them through available support options.
- Verify insurance coverage and explain benefits to patients.
- Assist with financial aid applications and payment plan setup.
- Handle Patient Billing inquiries with confidence, escalating only for complex situations.
- Collect payments, explain out-of-pocket costs, and provide information on self-pay pricing.
- Refer patients to appropriate financial assistance programs with confidence.
- Maintain accurate records and ensure compliance with healthcare regulations.
- When requested, provide administrative support for department(s).
Requirements:
- High school diploma or GED
- Associate's or Bachelor's degree in healthcare administration, business, or related field preferred
- 2+ years of experience in healthcare billing, insurance coordination, or patient financial services
- Experience with Microsoft Office (especially Word and Excel)
- Experience with payer portals and claim tracking systems
- Familiarity with HIPAA compliance and healthcare privacy regulations
- Experience working with CRMs (i.e., Salesforce) and Billing Software (i.e., Epic, XiFin, Quadax)
- Strong understanding of health insurance plans, benefits, and coverage verification processes
- Proficiency in explaining complex financial and insurance information to patients in a clear and empathetic manner
- Ability to assess patient financial needs and recommend appropriate payment plans or financial assistance options
- Experience with billing systems, insurance pre-authorizations, and payment collection procedures
- Familiarity with self-pay pricing structures and assistance program referrals
- Excellent communication and interpersonal skills to liaise effectively between patients, providers, and hospital staff.
Benefits:
- Competitive compensation and benefits
- Fostering an inclusive workforce
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