Pt Financial Navigator I Outpatient

OSF HealthCare•Peoria, IL

1d•Remote

About The Position

The Patient Financial Navigator ensures each patient has a complete and accurate OSF medical record, including demographics, insurance coverage, responsible guarantor, and precise registration. The role helps patients understand the services they are receiving, their financial responsibilities, and expectations before and after service. It provides financial education, clarifies estimated out-of-pocket expenses, and explains bill-payment options. The navigator is expected to understand payment alternatives, grants, programs, and other forms of assistance, and to educate and support patients regarding their financial options. The role determines payer sources and may obtain payer authorization, identify whether services require authorization, referral, or pre-determination, confirm benefit coverage and out-of-network status, and assist patients with questions about existing bills or invoices. Clear, concise verbal and written communication with peers, supervisors, payors, physicians, patients, and other departments is required. This is a work-from-home position for someone residing in Illinois. Travel to the Peoria office for training and other rare required occasions is necessary, and occasional office attendance is required.

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.
Able to travel to the Peoria office for training and other rare required occasions, and attend the office occasionally.

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 an emphasis on customer phone contact.
Advanced knowledge of CPT4, ICD-10, HCPCS, and modifiers.
Knowledge of medical terminology.

Responsibilities

Ensure each patient has a complete and accurate medical record, including demographics, insurance coverage, responsible guarantor, and accurate registration.
Help patients understand the services they are receiving, their financial responsibilities, and pre- and post-service expectations.
Provide financial education about estimated out-of-pocket expenses and bill-payment options.
Educate and support patients regarding payment alternatives, grants, programs, and other financial assistance.
Determine payer sources and obtain payer authorization when needed.
Identify whether services require authorization, referral, or pre-determination, whether a procedure is a covered benefit, and whether the payer is out of network.
Assist patients with questions about existing bills or invoices.
Communicate clearly and concisely with peers, supervisors, payors, physicians, patients, and other departments.