Healthcare Financial Navigator / Patient Access Specialist

Southwoods Health • Boardman, OH

4d • Onsite

About The Position

We are seeking a detail-oriented Healthcare Financial Navigator / Patient Access Specialist to join our team. In this critical revenue cycle role, you will ensure a seamless billing process for our patients by accurately verifying insurance coverage, confirming benefits, securing necessary authorizations, and calculating patient financial responsibilities prior to their care.

Requirements

• Previous professional experience in medical insurance verification is preferred but not required.
• A strong foundational understanding of healthcare revenue cycle operations and financial clearance services.
• Exceptional time management skills and a proven ability to prioritize tasks efficiently in a fast-paced environment.
• High ethical standards, strong communication skills, and a professional demeanor at all times.

Responsibilities

• Confirm insurance coverage, workers’ compensation, and state programs for all scheduled medical procedures.
• Secure, verify, and document precertification numbers and authorizations well before the scheduled date of service.
• Clearly communicate complex benefit details, in-network vs. out-of-network status, and out-of-pocket cost estimates directly to patients.
• Actively monitor authorization statuses and escalate cases to supervisors if approvals are not secured within 72 hours of a scheduled procedure.
• Maintain strict adherence to all federal, state, and regulatory guidelines while staying up-to-date on evolving medical necessity and prior authorization rules.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed