Role OverviewThe Lead Patient Financial Navigator acts as the patient's liaison from physician order through complete billing cycle. The Lead PFNA will complete a comprehensive analysis of patient's health insurance to include verification of benefits, prior authorization status and patient's out of pocket liability.
What You Will Do
The Lead PFNA will educate and provide patient with a clearly defined estimate of the patient's financial responsibility for all services, including office visits, testing, diagnostic studies, surgeries and procedures via phone, written correspondence and MyChart communication.
Why It Might Be a Fit
The Lead PFNA will have the following responsibilities: serve as primary support to the team for insurance and contract questions, identify and troubleshoot process issues, liaison with the Managed Care Team to confirm contract accuracy in estimates, and perform research in future areas of estimate opportunity.
Requirements
- Minimum 3 years of experience in healthcare revenue cycle registration, health insurance, patient financial responsibility and point of service collections
- Proficiency in working with payer on-line portals, as well as NaviNet, Passport or other third party eligibility systems
- Advanced knowledge of Medical Terminology, Health Insurance Plans and Patient Out-of-Pocket financial responsibility
- Experience with EPIC system required
- Proven ability to effectively interact with and provide service excellence to patients, clinicians, physicians and administrators
Benefits
- Comprehensive benefits program, including health, dental, vision, life, disability, and retirement
- Attractive working conditions
- Opportunities for career growth through professional development
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