Patient Financial Navigator - LCMC Health Corporate (UMC)

LCMC HealthNew Orleans, LA
Onsite

About The Position

This job description is intended to describe the general nature and level of work performed by employees assigned to this department. This is not an exhaustive list of all duties and responsibilities, and LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.

Requirements

  • Minimum of 3 years’ experience in healthcare financial counseling, patient access or medical billing.
  • Knowledge of insurance benefits/plans, medical terminology and healthcare billing practices.
  • Strong understanding of insurance processes and medical terminology.
  • ICD-10 and CPT coding understanding.
  • Detail – oriented with strong organizational abilities.
  • Proficient in using electronic health records (ER) and other healthcare software.
  • Excellent communication and interpersonal skills.

Nice To Haves

  • Associates degree in healthcare related field
  • Bilingual (Spanish or other language)
  • Certification as a Certified Revenue Cycle Representative (CRC) or Certified Financial Counselor (CFC) is desirable

Responsibilities

  • Review and verify patient insurance coverage and benefits for oncology services.
  • Provide clear and compassionate explanations of co-pays, deductibles, coinsurance and non-covered services.
  • Identify opportunities for insurance optimization, including secondary coverage, medical eligibility or financial assistance programs.
  • Collaborate with case management, social work teams, and outsource support to aid underinsured or uninsured patients.
  • Generate and communicate cost estimates for physician ordered oncology treatment, including chemotherapy, radiation, imaging and surgical procedures.
  • Apply, claim, and track patient assistance programs.
  • Assist patients with understanding their bills and resolve discrepancies.
  • Collect upfront payments as necessary based on financial policies.
  • Offer and set up flexible payment plans tailored to patient needs and financial capacity.
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