Financial Screening Navigator

Cooper University Hospital•Camden, NJ

19h•Onsite

About The Position

Financially screens uninsured and underinsured patients prior to inpatient and outpatient services, including office visits, testing, diagnostic studies, surgeries and procedures. The financial screening process encompasses any or all of the following job functions: Navigates and completes financial referrals for all uninsured and underinsured patients. Reviews patient history involving past illnesses, treatment locations, diagnoses and final outcomes. Assesses patient financial status and explores all third party liability options (e.g., Charity Care, Disability, Medicaid, SEED Program, Victims of Crime, grants) to assist patients. Explains NJ State Presumptive Eligibility and CMS Insurance Marketplace options to patients. Helps patients with new health coverage to understand their benefits and use them appropriately for primary care and preventive services. Generates patient liability estimates and provides to patients. Collects patient liability payments and/or establishes payment arrangements. Provides clear and concise documentation in systems. Communicates daily with internal customers, providers and patients.

Requirements

2 years experience in healthcare revenue cycle billing and reimbursement, working specifically with health insurance plans and products, NJ Charity Care and Medicaid preferred.
Experience with EPIC, IDX Flowcast and Healthquest systems preferred.
Basic knowledge of medical terminology, continuity of care protocols and coding principles.
Proven ability to effectively interact with and provide service excellence to patients, clinicians, physicians and administrators.
Detail oriented with the ability to multi-task using multiple information systems.
Proficiency in use of MS Office Word, Excel and Power Point.
Ability to organize, take independent action and project Cooper values to customers and co-workers.

Nice To Haves

NJ Charity Care and Medicaid preferred.
Experience with EPIC, IDX Flowcast and Healthquest systems preferred.

Responsibilities

Navigates and completes financial referrals for all uninsured and underinsured patients.
Reviews patient history involving past illnesses, treatment locations, diagnoses and final outcomes.
Assesses patient financial status and explores all third party liability options (e.g., Charity Care, Disability, Medicaid, SEED Program, Victims of Crime, grants) to assist patients.
Explains NJ State Presumptive Eligibility and CMS Insurance Marketplace options to patients.
Helps patients with new health coverage to understand their benefits and use them appropriately for primary care and preventive services.
Generates patient liability estimates and provides to patients.
Collects patient liability payments and/or establishes payment arrangements.
Provides clear and concise documentation in systems.
Communicates daily with internal customers, providers and patients.