Patient Financial Navigator

Patient Financial Navigator

The Patient Financial Navigator (PFN) assists patients and/or families in accessing a variety of financial resources by evaluating the financial situation of uninsured or under-insured patients in accordance with regulatory compliance while maintaining patient confidentiality and dignity. The Patient Financial Navigator determines eligibility for financial assistance or any available payer/assistance source and provides necessary assistance to enroll in available government programs or other assistance. The PFN answers questions of patients and family members regarding their insurance, verifying insurance coverage and eligibility, provides estimates of financial responsibility. The PFN liaisons with Patient Financial Services and the Care Management team to ensure maximum cash flow and reimbursement for the hospitals and acts as an advocate for the patient in resolving patient liability.

Education: Required: High school diploma or equivalent Preferred: One year of advanced education or special training

Experience: Required: 1-2 years customer service experience, preferably in healthcare or insurance industry

Skills: Excellent verbal and written communication skills Must demonstrate the ability to utilize skills to inspire teamwork, quality, accountability, and ownership among the team Able to work effectively independently and collaboratively with a team Self-starter Critical thinking skills required Proficient in using computers and computer systems including Microsoft Word and Excel Ability to multi-task and have attention to detail Familiar with the insurance industry and collection process

Licensure/Certification/Registration: Required: Within 90 Days of hire, employee must obtain their Certified Application Counselor (CAC) Certified Healthcare Access Associate (CHAA) preferred