Patient Financial Navigator

CoxHealth • Springfield, MO

2d • Onsite

About The Position

The Patient Financial Navigator assists patients and families in accessing financial resources by evaluating the financial situations of uninsured or under-insured patients in accordance with regulatory requirements while maintaining patient confidentiality and dignity. The role determines eligibility for financial assistance and available payer or assistance sources, and helps patients enroll in government programs or other assistance. The navigator answers questions about insurance, verifies coverage and eligibility, and provides estimates of patients’ financial responsibility. Working with Patient Financial Services and Care Management, the navigator supports hospital cash flow and reimbursement while advocating for patients in resolving their financial liability.

Requirements

• High school diploma or equivalent.
• 1–2 years of customer service experience, preferably in healthcare or the insurance industry.
• 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 pay 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.
• Certified Healthcare Access Associate (CHAA) certification.

Responsibilities

• Evaluate the financial situations of uninsured or under-insured patients while following regulatory requirements and 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 and verify insurance coverage and eligibility.
• Provide estimates of patients’ financial responsibility.
• Liaise with Patient Financial Services and Care Management to support hospital cash flow and reimbursement.
• Advocate for patients in resolving their financial liability.

Benefits

• Medical insurance
• Vision insurance
• Dental insurance
• Retirement plan with employer match

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED