Patient Financial Navigator I Specialty
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 explain bill-pay options. The role requires knowledge of payment alternatives, grants, programs, and other forms of assistance so patients can understand and navigate their financial options. The navigator determines a patient's payer source and obtains payer authorization when needed, including identifying whether services require authorization, referral, or pre-determination; whether a procedure is a covered benefit; and whether a payer is out of network. The navigator also assists patients with questions about existing bills or invoices. Clear, concise verbal and written communication is required when working with peers, supervisors, payors, physicians, patients, and other departments. Candidates must be in Illinois or Michigan. Training takes place at OSF Headquarters in Peoria. After 60 days of training, employees may transition to remote work, subject to satisfactory performance and progress. If performance expectations are not met within that timeframe, the transition to fully remote work may be delayed until proficiency is demonstrated. Expected pay is $20.21–$23.77 per hour; actual pay depends on experience, skills, and internal equity.
Requirements
- Associate's degree and one year of customer service or 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.
- Candidates must be 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 and third-party administrators and collections, with an emphasis on customer phone contact.
- Advanced knowledge of CTP4, 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.
- Explain services, financial responsibilities, and pre-service 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 financial assistance.
- Determine patients' payer sources and obtain payer authorization when required.
- Identify whether services require authorization, referral, or pre-determination, whether procedures are covered benefits, and whether a 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.
Benefits
- OSF HealthCare offers a comprehensive, market-competitive total rewards package that includes benefits, compensation, recognition, and well-being offerings.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
