Financial Navigator II - Mon - Fri 8:00am - 5:00pm

Northeast Georgia Health System•Gainesville, GA

About The Position

Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. About the Role: Job Summary Financial Navigator II screens patients bedside or in office using the five patient receivables strategies: locating coverage, applying for Medicaid, processing payments in full, setting up payment plans, and completing charity applications. Guides patients through the Medicaid application process, providing education, support and follow-up in order to help ensure all requirements are met in a timely manner.

Requirements

High School Diploma or equivalent.
At least two years of financial counseling, disability advocacy, or other related eligibility determination experience, or six months of previous experience in the Financial Navigator I role.
Knowledge of Patient Financial Services processes and procedures, including governmental and commercial insurance guidelines and protocols, the components of full verification, and payer information/requirements.
Exemplary customer service skills and the ability to assist customers in a pleasant, courteous and professional manner.
Excellent communication skills required to include telephone skills.
Reading
Writing
Reasoning
Talking
Keyboarding

Nice To Haves

Two or more years of college.

Responsibilities

Models five patient receivables strategies when screening and counseling uninsured patients: locating coverage, applying for Medicaid, processing payments in full, setting up payment plans, and completing charity applications.
Meets with patients who present as self-pay or in financial need to confirm demographics and obtain valid insurance coverage, if applicable, and/or review prior account information to obtain insurance coverage information.
Verifies insurance to determine that coverage is active for patients’ date of service.
Enters account notes and updates patient accounting system.
Educates, screens, and assists patients who do not have valid insurance coverage with enrollment in programs including Medicaid and Disability, financial assistance, or payment plans in accordance with patient's financial circumstances.
Reviews patient's diagnoses, procedures and prognosis to determine if patient is a viable candidate for disability.
Reviews patient's medical, financial and family circumstances to determine if patient may qualify for a state program.
Assists the patient and/or family in obtaining the necessary documents needed to support the application being submitted.
Provides a checklist for documents that may not be obtained during the interview process.
Documents in designated computer system all interaction with the patient including when additional documents may be received by fax or mail after patient has discharged to ensure proper follow up.
Serves as a resource to Customer Service and Collections staff, Social Workers, Case Management and other hospital staff for identification of funding sources for health services for patients.
Reviews applications for accuracy and completeness prior to submitting for approval.
Attends department and staff meetings and in-services to maintain current knowledge.
Keeps up to date with all department standards to ensure compliance with state, federal and hospital regulations.
Performs other duties as assigned or requested.