Pt Financial Navigator I Single Billing Office

OSF HealthCare•Peoria, IL

18h

About The Position

The Patient Financial Navigator ensures each patient has a complete and accurate OSF medical record, including patient demographics, insurance coverage, responsible guarantor, and precise registration. The navigator helps patients understand the services they are receiving, their financial responsibilities, and expectations before and after service. They provide financial education to clarify estimated out-of-pocket expenses and available bill-pay options. The role requires knowledge of payment alternatives, grants, programs, and other assistance options so patients can understand and access financial support. The navigator determines payer sources and obtains authorization when needed, including identifying authorization, referral, or pre-determination requirements, covered benefits, and out-of-network status. They also assist patients with questions about existing bills or invoices. Clear, concise verbal and written communication is required with peers, supervisors, payors, physicians, patients, and other departments. Candidates must reside in Illinois or Michigan. Work from home may be possible after completing 90 days of onsite training in Peoria.

Requirements

Associate's degree and one year of customer service/relations experience, or a high school diploma and two years of experience in a call center, healthcare, and/or public health setting.
Excellent interpersonal and communication skills.
Solid computer skills, including proficiency with Microsoft software.
Strong analytical and problem-solving skills, with attention to detail.
Must reside in Illinois or Michigan.

Nice To Haves

Bachelor's degree in Business Administration or a healthcare-related field.
Experience in patient registration, patient accounts, patient finance, insurance benefits, financial assistance programs, public health, social services, or another community-based background.
Experience in medical billing, including working with insurance companies, third-party administrators, and collections, with emphasis on customer phone contact.
Advanced knowledge of CPT4, ICD-10, HCPCS, and modifiers.
Knowledge of medical terminology.

Responsibilities

Ensure patient medical records are complete and accurate, including demographics, insurance coverage, responsible guarantor, and registration details.
Explain services, financial responsibilities, and pre- and post-service expectations to patients.
Provide financial education about estimated out-of-pocket expenses and bill-pay options.
Educate and support patients regarding payment alternatives, grants, programs, and other assistance.
Determine the patient's payer source and identify authorization, referral, pre-determination, covered-benefit, and out-of-network requirements.
Obtain payer authorization when required.
Assist patients with questions about existing bills or invoices.
Communicate clearly and concisely with peers, supervisors, payors, physicians, patients, and other departments.