INSURANCE NETWORK NAVIGATOR, PATIENT FINANCIAL SERVICES
About The Position
The Insurance Network Navigator is a dedicated member of the Patient Financial Services team that is responsible for a large patient base. The role of the Insurance Network Navigator is to provide overall guidance to the patient as it relates to non-contracted insurance benefits and potential financial obligation knowledge. The Insurance Network Navigator redirects patients with out of network insurance to their in-network facilities/providers. Insurance Network Navigator stress customer service and positive interpersonal relations while working closely with Admitting/Registration, Preauthorization, Care Management, Managed Care, appropriate department personnel in Patient Financial Services and MCW Clinical Practice Services in addressing financial responsibilities.
Requirements
- Knowledge of insurance benefits as it relates to deductibles, coinsurance, co-payments, and overall insurance out of pocket costs.
- Three years’ experience in patient navigation, financial counseling, case management, managed care, or health insurance payor environment.
- Knowledge gained through at least 3-5 years focused experience is required.
- Experience in a patient financial healthcare setting.
- Exemplary customer service skills.
- Experience in healthcare/revenue cycle functions.
- Experience with Microsoft Word, Excel, and other software programs.
- Experience using computerized billing systems in a service industry.
Nice To Haves
- Associate Degree, preferred.
- State of Wisconsin and Federal Certified Application Counselor Designation is preferred.
- High degree of organizational skills and excellent communication skills; ability to work independently and take programmatic initiative.
Responsibilities
- Provide overall guidance to the patient as it relates to non-contracted insurance benefits and potential financial obligation knowledge.
- Redirect patients with out of network insurance to their in-network facilities/providers.
- Stress customer service and positive interpersonal relations.
- Work closely with Admitting/Registration, Preauthorization, Care Management, Managed Care, appropriate department personnel in Patient Financial Services and MCW Clinical Practice Services in addressing financial responsibilities.
Benefits
- Paid time off
- Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities
- Academic Partnership with the Medical College of Wisconsin
- Referral bonuses
- Retirement plan - 403b
- Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics
- Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
