Lead Patient Financial Navigator- Referrals

OSF HealthCare•Peoria, IL

1d•Remote

About The Position

The Patient Financial Navigator Lead ensures that each patient has a complete and accurate OSF financial record. The Patient Financial Navigator Lead will educate and support the patient on their pre and post financial options. The Patient Financial Navigator Lead functions as a team resource on highly complex issues and problem resolution. Serves as a dedicated escalation point for multiple functional areas and determine the appropriate outside resources that are required to support escalation. This position has a significant understanding of the revenue cycle and the importance of evaluating and securing all appropriate financial resources for patients to maximize reimbursement to the Health System. Provides support to Patient Financial Navigators to ensure quality and efficiency of functions performed including mentoring, training, quality assurance, assists with screening of potential candidates, analyzing reports, auditing, account resolution, completion of department schedules and payroll/timekeeping. The Patient Financial Navigator Lead is expected to guide and support change and process improvement opportunities throughout the department and work with the department leadership to set standards, develop, and execute improvement plans.

Requirements

Associate’s Degree or equivalent experience of 2 years in a healthcare or public health setting with one of a combination of the following: patient finance, insurance benefits, financial assistance programs, public health, social services, or other community based background.
Two years' experience in healthcare collection, financial counseling, insurance benefit verification and/or precertification, third party payor, Medicaid case work, admitting or billing experience.
One year experience with customer service/relations.
Excellent interpersonal and communication skills.
Solid computer skills, including proficiency with Microsoft software.
Strong analytical and problem solving skills, with the ability to be detail oriented.
Required to complete all role specific revenue cycle training and certification within 12 months.
Meets requirements for internal Revenue Cycle Patient Access quality audits, competencies, productivity, performance, and adheres to the Standards of Performance.

Nice To Haves

Bachelor Degree in Business Administration or Healthcare related field.
Patient Registration or Patient Accounts
Advanced knowledge of CPT4, ICD9/10, HCPCS, and modifiers.
Knowledge of medical terminology.
HFMA CRCR certification.

Responsibilities

Ensures that each patient has a complete and accurate OSF financial record.
Educates and supports the patient on their pre and post financial options.
Functions as a team resource on highly complex issues and problem resolution.
Serves as a dedicated escalation point for multiple functional areas and determine the appropriate outside resources that are required to support escalation.
Evaluates and secures all appropriate financial resources for patients to maximize reimbursement to the Health System.
Provides support to Patient Financial Navigators to ensure quality and efficiency of functions performed including mentoring, training, quality assurance, assists with screening of potential candidates, analyzing reports, auditing, account resolution, completion of department schedules and payroll/timekeeping.
Guides and supports change and process improvement opportunities throughout the department.
Works with the department leadership to set standards, develop, and execute improvement plans.