Patient Financial Navigator

CoxHealth•Springfield, MO

19h•Onsite

About The Position

The Patient Financial Navigator (PFN) assists patients and/or families in accessing financial resources. The role evaluates the financial circumstances of uninsured or under-insured patients in accordance with regulatory requirements while maintaining patient confidentiality and dignity. The PFN determines eligibility for financial assistance and available payer or assistance sources, and helps patients enroll in available government programs or other assistance. The position answers questions about insurance, verifies coverage and eligibility, and provides estimates of patient financial responsibility. The PFN works with Patient Financial Services and the Care Management team to support hospital cash flow and reimbursement while advocating for patients to resolve their liability. This position is based at CoxHealth South, 3801 S National Ave, Springfield, Missouri. It is scheduled for 40 hours per week, Monday through Friday hours of 8:00 AM–4:30 PM, on the day shift.

Requirements

High school diploma or equivalent.
1–2 years of customer service experience; healthcare or insurance industry experience is preferred.
Excellent verbal and written communication skills.
Ability to inspire teamwork, quality, accountability, and ownership among the team.
Ability to work effectively independently and collaboratively with a team.
Self-starter.
Critical thinking skills.
Proficiency with computers and computer systems, including Microsoft Word and Excel.
Ability to multitask and maintain attention to detail.
Familiarity with the insurance industry and collection process.
Must obtain Certified Application Counselor (CAC) certification within 90 days of hire.

Nice To Haves

One year of advanced education or special training.
Customer service experience in the healthcare or insurance industry.
Certified Healthcare Access Associate (CHAA) certification.

Responsibilities

Evaluate the financial situation of uninsured or under-insured patients in accordance with regulatory compliance while maintaining confidentiality and dignity.
Determine eligibility for financial assistance and available payer or assistance sources.
Assist patients with enrollment in available government programs or other assistance.
Answer patient and family questions about insurance.
Verify insurance coverage and eligibility.
Provide estimates of patients’ financial responsibility.
Liaise with Patient Financial Services and the Care Management team to support hospital cash flow and reimbursement.
Advocate for patients in resolving patient liability.