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Date Added: Sat 11/09/2021

Financial Navigator

Detroit, MI, US
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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

Duties:

  • 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.

Skills:

  • 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


Job Requirements:

Education:

  • 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

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