Company: A-LINE STAFFING SOLUTIONS
Job Type: Permanent, FullTime
A Financial Navigator is needed for a major hospital system in Detroit, MI!
*Must be comfortable interacting with Covid Patients*
Schedule: Afternoons 2:30pm-11pm Does include weekends and some holidays Training shifts will be 8am - 4:30pm. Training time on the weekends will be either 7:00 am until 3:330 pm or 2:30 pm until 11:00 pm.
The person in this position may have to cover the Fairlane location from time to time as well, so please make sure your candidates are comfortable with that T
- Under minimal supervision with an ability to work independently, this position is responsible for assisting uninsured, under-insured and insured patients/guarantors with their financial obligations for prior and current care.
- The successful candidate will be actively involved in discussion with patients and families to ensure accurate and comprehensive financial information is obtained; connect with patients in regards to a successful resolution of financial obligations (including prior balances); coordinate with insurance carriers to determine healthcare coverage and options; advise patients of available financial assistance programs and assist families in the completion of applications; collaborate with physicians and other healthcare providers to determine long-term care needs. Coordinates activities with clinics and hospital departments.
- Will be covering ED, Inpatient, and the office
- They will screen all patients who have been identified as self-pay, motor vehicle accident, third party liability workers comp
- Patients will come over to this group after being identified by the Patient Registration Reps as self pay.
- These individuals are screening patients who are identified as self pay to help them find a funding source using self pay work ques
- They conduct a 17 question questionnaire with the patient, and if the patient qualifies, they then complete an online Medicaid application with the patient as well as a financial assistance application.
- If they are assigned to inpatient they will also screen newborn patient's parents
- If they are assigned to the office, they will handle all of the follow up with the patients that are assigned to ED or inpatient.
- Possess the ability to read, write, spell and accurately perform mathematical calculation in order to complete various functions related to account balance estimations, payment application, and computing contractual obligations.
- Essential Technical/Motor Skills: Possess the ability to speak clearly and effectively.
- Interpersonal Skills: Customer service-oriented including the ability to interact professionally and handle sensitive information/issues in a confidential, respectful, assertive, and empathetic manner in difficult interpersonal situations.
- Acts in a manner that establishes positive rapport with patients, families, and public/private financial assistance programs.
- Mental Requirements: Ability to quickly assess and respond appropriately to emergency situations. Ability to comprehend medical terms.
- Analytical skills to resolve complex problems requiring the use of scientific, mathematical, or technical principles, and in-depth experience in multi-tasking.
- Ability to deliver consistent results and possess the drive to continually improve processes to benefit the patient and the hospital system.
- Essential Sensory Requirements: Ability to visually proofread typed work for errors.
- Ability to communicate via telephone to a variety of groups (patients, patients' families, insurance companies, other departments, etc.)
- Other Preferred Requirements: Ability to analyze and interpret information included in but not limited to support application materials, IRS materials, credit reports, payer regulations, payer contracts etc.
- Analytic skills to assess data and formulate appropriate and prompt sequence of steps to resolve patient questions or concerns.
- Knowledge of managed care and referral/pre-certification procedures.
- Understanding and working familiarity with rules and regulations of Federal, State and County programs and payer requirements.
- Understanding and the ability to maintain patient privacy and confidentiality.
- Maintains a high level and global knowledge of insurance/managed care requirements, and hospital policies and procedures.
- Detailed and quality oriented with strong problem solving skills and the judgment to interpret data and take appropriate action in circumstances and situations which vary as well as act as a resource to others.
- Ability to work independently and manage individual workload to meet productivity standards.
- They must have some form of registration experience
- They must have ED or Inpatient experience within a health system or a doctor’s office
- They must have Insurance Verification experience
- A candidate who previously worked as a Patient Registration Rep would be a good candidate
- CAS Collections experience is preferred
- Requirements: High school diploma or G.E.D. equivalent required.
- Associate Degree with course work in mathematics, accounting and computer science preferred.
- Two (2) years of experience related to patient admitting, registration and/or insurance eligibility and verification in a hospital or medical office setting required.
JOB ID: 71788