Financial Navigator - Patient Access @ North Fulton

Oncology Financial Navigator

At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Work Shift

Day (United States of America)

Shift/Schedule:

Mon-Tues: 8am to 4:30pm; Wed: 7:30am to 5:00pm; Thur: 8am to 4:30pm; Fri: 7:30am to 3:00pm

Position Location:

4500 Hospital Blvd, Suite 300, Roswell, GA 30076

Responsibilities

• Assist appropriate patients to explore options for financial assistance for oncology services.
• Interviews each patient or representatives to obtain complete and accurate demographic, financial and insurance information.
• Obtains all necessary signatures and is knowledgeable regarding any special forms that may be required by the patient's third party payer.
• View charges to determine financial estimates and collects appropriate co-pays/ and or deductibles.
• Makes corrections and updates patient account information in computer.
• Documents thorough explanatory notes on patient accounts, concerning any non-routine circumstances, clarifying special billing processes.
• Maintains a working knowledge of available information system capabilities and performs all system applications that are required.
• Understands and applies WHS philosophy and objectives, and PAS policies and procedures, as related to assigned duties. Understands the admission, outpatient and emergency registration process.
• Maintains confidentiality of patient information, in accordance with WHS policy and HIPPA regulations.
• Consistently demonstrates the ability to organize work recognizes and establishes appropriate work priorities, and completes work in a productive manner, without creating backlogs.
• Maintains proficiency in data entry skills.
• Assists with Medicaid screening on all accounts.
• Resolve error in Patient Work Queues
• Follow up with patients for financial assistance needs.
• Greets all guest with a positive and professional attitude.
• Answers incoming phone calls and follows through with requests made.
• Maintains courteous and cooperative working relationships with WHS management, patients, physicians, other professional contacts, and the general public. Demonstrates ability to tactfully handle difficult situations.
• Presents a well-groomed and professional image in coordination with departmental/ hospital dress codes.
• Provides appropriate telephone etiquette and scripting.
• Must be flexible with work hours to meet department needs.
• Meet's service recovery and customer service guidelines.
• Keep current & convey knowledge of various insurance plans to customers as needed.
• Attempts to collect the estimated self-pay balance of all inpatient, outpatient, and ER accounts, at the earliest possible collection control point.
• Monitors in-house accounts and attempts to make financial arrangements with guarantors for payment of their self-pay balances in full, prior to discharge, or within ten working days there
• Communicates with Medicaid Eligibility team and applicable vendor(s) to determine eligibility and approval/denial status as needed.
• Completes financial evaluation forms to document guarantors' income, expenses, assets and liabilities.
• Identifies those patients without adequate insurance coverage. Makes personal contact with patient or guarantor to determine guarantor's ability to pay non-covered charges, as well as to determine potential eligibility for financial assistance programs (namely Medicaid).
• Maintains a list of health care financial assistance programs and the eligibility requirements for each program. Refers patients/guarantors to sources of outside funding assistance, distributes financial assistance (i.e. Medicaid) applications as need.
• Works efficiently and accurately within designated time frames to ensure a continuity of information and cash flow.
• Interviews all inpatients and select (self-pay) outpatients at time of registration, or at least within 24 hours of admission, to verify complete insurance and financial information, explain financial policies, and collect the estimated self-pay balance.
• Documents concise and understandable notes regarding all self-pay account collection activity, as well as each patient or guarantor interaction. Documents all efforts to collect patient account balances, other self-pay collection activities and referrals to Medicaid.
• Verifies insurance coverage and benefits.
• Exceeds monthly quota on a consistent basis. Formally reports results of PAP enrollment activity to direct supervisor, on a daily basis or according to policy. Provides feedback to PAS management concerning PAP enrollment and data integrity issues.
• Responsible for completion of appropriate error/issues in WorkQueues.
• Observes work hours and provides proper notice of absences, tardiness work schedule changes.
• Cross-trained in all areas of registration.
• Attends select departmental meetings at the request of WHS Management.
• Completes annual mandatory training as required.
• Maintain several Login ID's & expertise in various insurance pre-certification and authorization processes.
• Performs other duties as assigned.
• PAS Oncology Financial Navigator are Level III team members and as such serve as preceptors and mentors therefore must:
• Maintain a 98% based on individual QA audit /or as reported by Epic (min. of 10 accounts) registration accuracy rate or higher in the past 12 months.
• Maintain minimum productivity requirements.
• Has no corrective disciplinary action during the past twelve (12) months.
• Willing and able to function as a preceptor in the orientation of new patient access personnel and students.
• Maintain required certifications by obtaining necessary CEUs and submitting timely to certifying board.
• Required for All Jobs
• Performs other duties as assigned
• Complies with all WellStar Health System policies, standards of work, and code of conduct.

Qualifications

Required Minimum Education:

• High school diploma or GED Required
• Associate's Degree Preferred

Required Minimum Experience:

• Minimum 1 year healthcare experience in Patient Access Services, Practice Operations, or Patient Financial Services Required
• Bachelor's degree or higher may substitute for experience Required
• Epic experience Preferred

Required Minimum Skills

• Effective communication skills (both written and verbal) with the ability to communicate with various members of the healthcare team.
• High attention to detail, self-directed and a positive attitude are essential.
• Effective problem solving and critical thinking skills.
• Typing or data entry competency of at least 40 words/minute.
• Cash handling and balancing.
• Demonstrated professionalism, effective communication skills and active listening skills.
• Working knowledge of patient registration systems and intermediate Microsoft Office Suite are preferred.

• Required Minimum License(s) and Certification(s):Certified Revenue Cycle Rep (CRCR) required

Join us and discover the support to do more meaningful workand enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.