Financial Navigator
This job posting is no longer active.
- King's Daughters Medical Center
- Patient Financial Experience
- Ashland, KY
- Full Time - Days - M - F days
- Support Services
- Req #: 22870
Summary
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JOB SUMMARY
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Assists patients in understanding all aspects of their out of pocket responsibility and available options to resolve that responsibility, including, but not limited to, obtaining necessary financial information from insured and uninsured patients who express financial difficulties as a hindrance to obtaining healthcare. Additionally, coordinate receipt and distribution of this information to the appropriate unit, department or vendor to ensure the patient receives the proper care and assistance.
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DUTIES AND ESSENTIAL FUNCTIONS
- Review financial information with insured and uninsured patients with emphasis on maximizing revenue potential and minimizing financial burden for patients.
- Provide patients with explanations of expected out of pocket costs, including, but not limited to, deductibles, co-pays, co-insurance, non-covered services, and maximum benefits as defined by their plan.
- Discuss options for resolving the patient’s out of pocket costs, including, but not limited to, state and federal assistance programs, pharmaceutical assistance programs, financial assistance through the Health System’s program, short term payment plans, and extended payments through the Health System’s healthcare financing vendor.
- Provide patients with explanations of documentation requirements for the variety of available assistance options, and coordinating the collection and appropriate distribution of those documents to limit the burden on the patient.
- Coordinate patient contact and documentation preparation in conjunction with the Health System’s eligibility vendor to facilitate their review process in determining eligibility for state and federal assistance programs.
- Coordinate patient information with the Health System’s early out and healthcare financing vendors to ensure accurate balance billing.
- Conduct research into the availability and eligibility requirements for various pharmaceutical replacement, pharmaceutical discount, and co-pay/co-insurance assistance programs offered through pharmaceutical corporations, endowments, grants, etc.
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EDUCATION/LICENSE/ CERTIFICATIONS/OTHER REQUIREMENTS
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Minimum requirement:
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High School diploma
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2-3 years related work experience
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Must be able to type a minimum of 35 CWPM
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Proficient user Microsoft Excel and Word
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Preferred qualifications:
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NA
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WORKING ENVIRONMENT
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This job operates in a professional office environment routinely using standard office equipment such as computers.
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The noise level in this position is usually low.
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PHYSICAL DEMANDS
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Occasionally required to maintain in a stationary position (standing or sitting).
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Regularly required to maintain a stationary position behind a computer
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Regularly required to communicate with callers telephonically and in-person requiring talking and hearing
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Constantly required to operate a computer and telephone.
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Occasionally required to lift and/or move up to 25 pounds.
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Occasionally required to travel to other locations and may be exposed to weather conditions
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Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, and depth perception.
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