Pharmacy Patient Financial Navigator

OSF HealthCare • Peoria, IL

4d • Onsite

About The Position

This position will support pharmacy services within OSF Home Care Services in Peoria, IL. The Pharmacy Patient Financial Navigator ensures that each patient has a complete and accurate medical record, including demographics, insurance coverage, responsible guarantor, and registration details. This role helps patients understand the services they are receiving, their financial responsibilities, and expectations before and after care. The Pharmacy Patient Financial Navigator provides financial education to clarify estimated out-of-pocket expenses and offers guidance on bill payment options. This role is expected to be knowledgeable about payment alternatives, grants, assistance programs, and other resources to support patients in managing financial obligations. The Pharmacy Patient Financial Navigator will be responsible for determining payer sources, securing necessary authorizations, referrals, or pre-determinations, confirming coverage, identifying out-of-network considerations, and assisting with billing or invoice inquiries. This position completes activities associated with billing of necessary medical/pharmacy claims. The Pharmacy Patient Financial Navigator will provide clear, professional communication with patients, providers, and internal departments.

Requirements

• High School Diploma/ GED
• 1 year of experience as a Pharmacy Technician OR in pharmacy billing, reimbursement, revenue cycle, or patient financial navigation.
• Active Illinois Pharmacy Technician License issued by the Illinois Department of Financial and Professional Regulation (IDFPR)
• Excellent interpersonal and communication skills.
• Solid computer skills, including proficiency with Microsoft software.
• Strong analytical and problem-solving skills, with the ability to be detail oriented.

Nice To Haves

• Experience with patient registration, patient accounts, patient finance, insurance benefits, financial assistance programs, public health, social services, or other community-based background.
• Experience working in medical billing, including working with insurance companies, third party administrators with emphasis on customer phone contact.
• Certified Revenue Cycle Representative (CRCR) certification
• Advanced knowledge of CTP4, ICD 10, HCPCS and modifiers.
• Knowledge of medical terminology.

Responsibilities

• Ensures that each patient has a complete and accurate medical record, including demographics, insurance coverage, responsible guarantor, and registration details.
• Helps patients understand the services they are receiving, their financial responsibilities, and expectations before and after care.
• Provides financial education to clarify estimated out-of-pocket expenses and offers guidance on bill payment options.
• Determines payer sources, secures necessary authorizations, referrals, or pre-determinations, confirms coverage, and identifies out-of-network considerations.
• Assists with billing or invoice inquiries.
• Completes activities associated with billing of necessary medical/pharmacy claims.
• Provides clear, professional communication with patients, providers, and internal departments.

Benefits

• Comprehensive and market-competitive total rewards package
• Benefits, compensation, recognition and well-being offerings
• Focus on the whole person and engage with their current stage of life and career

What This Job Offers

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