Financial Navigator - Patient Financial Services SVHC - FT - Day

Position Status:

Full time

Shift:

First Shift (Days - Less than 12 hours per shift) (United States of America)

Hours per week:

40

Job Information
Exemption Status: Non-Exempt

A Brief Overview
The Financial Navigator plays a crucial role in providing financial assistance education to patients. This position is involved collaborating with healthcare providers to help patients navigate their insurance options and access necessary financial resources, ensuring they receive optimal care despite financial burdens. Under direction, responsible for mentoring patients through the self-pay process to bring account balances to final resolution. This responsibility includes evaluating patient financial situations in order to arrange appropriate methods of account resolution. To include collecting payment in full, payment plans and screening uninsured patients for Financial Assistance, Medicaid, Market Place, Cobra or other insurance programs. This position will generate price estimates, answer questions about open enrollment, in network insurance, out of network insurance and explain the overall health care financial process to patients. These activities are completed following established policies and procedures, and in compliance with Joint Commission, Medicare, Payer contracts, HIPAA, regulatory agencies and the organization's Code of Conduct.

Education Qualifications

• High School Diploma / GED Required

Experience Qualifications

• 2 years Experience in the clinical or business area that this role supports. Required
• 1 year Understanding of medical billing, insurance policies, and financial assistance programs. Preferred

Skills and Abilities

• .Excellent written and verbal communication skills
• Strong problem-solving skills and ability to adapt to changing priorities.
• Ability to define problems, collect data, establish facts, and draw valid conclusions.
• Attention to detail and ability to process complex information and documentation.

What you will do

• Identify patient financial needs and finding solutions for them.
• Assist patients in analyzing and signing up for the best health insurance options based on their health concerns and financial situations.
• Identifying programs or resources that support the navigation of patients through complex healthcare environments for optimization of care and outcomes.
• Maintain a detailed understanding of healthcare insurance policies, drug information, medical benefits, medical terminology, and pharmacy benefits.
• Serves as a liaison between department staff, patients and physicians.
• Estimates patient liability on accounts. Counsels’ patient on the cost of treatment, insurance benefits, resources for payment, and financial assistance. Secures and documents payment arrangements.
• Maintain detailed records to measure effectiveness of program and suggest ways to improve throughout the process.
• Provides assistance to any staff member where priorities have been assigned by immediate supervisor.
• Organizes, formulates and coordinates a team approach to the patient population for achievement of optimum outcomes.
• Coordinate and communicate patient updates to care teams to optimize patient outcomes.
• Behaves in accordance with the Mission and Vision of Stormont Vail Health.
• Possesses cognitive skills to provide creativity, problem solving, strategic thinking, pragmatism, and learning ability to everyday activities.

Travel Requirements

• 20%

Required for All Jobs

• Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health
• Performs other duties as assigned

Patient Facing Options

• Position is Patient Facing

Remote Work Guidelines

• Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.
• Stable access to electricity and a minimum of 25mb upload and internet speed.
• Dedicate full attention to the job duties and communication with others during working hours.
• Adhere to break and attendance schedules agreed upon with supervisor.
• Abide by Stormont Vail’s Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.

Remote Work Capability

• Hybrid

Scope

• No Supervisory Responsibility
• 
  
• No Budget Responsibility No Budget Responsibility

Physical Demands

• Balancing: Rarely less than 1 ho