Community Health Navigator

About the Hospital Ann & Robert H. Lurie Children’s Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. General Summary of Position Registers patients for day of and/or future encounters. Obtains accurate demographic and insurance information. Performs eligibility and benefits verification. Initiates and completes the precertification process for all outpatient and inpatient encounters. Performs financial counseling as appropriate and guides patients through the front‑end collections process. Responds to inquiries regarding services at Lurie Children’s including a familiarity with Emergency Preparedness for Mass Casualties or Trauma. Performs job functions adhering to service principles with customer service focus of innovation, service excellence and teamwork to provide the highest quality care and service to our patients, families, co‑workers and others. Essential Job Functions ED/Admitting Services Registrar: Obtains all demographic and financial information by interviewing families face‑to‑face or via telephone to create and complete the registration process. Accurately creates and updates registration data for patients. Schedule patients for office visit and may need to complete the check‑in/check‑out process. Prompts patients for front‑end collections payments and reconciling payments via Epic. Verifies benefit coverage and eligibility via online resources, fax, or telephone. Initiates and completes the pre‑certification process including the forwarding of any supportive clinical documentation. Calculate and validate estimated patient balances and identifies those patients requiring financial assistance. Guide patients through the financial assistance process, assist with payment plans, apply for state insurance, and assist with Medi‑Redetermination. Assist patients with understanding their bill and financial obligations. Document all encounters in Epic account notes. Performs other related duties as assigned. Maintains knowledge of managed care/insurance requirements by attending educational sessions. Call Center Registrar: Answers all incoming calls into the registration call flow. Complete all registrations during calls with patients/families on inbound and outbound assignments. Monitors the Avaya call back assist function in the call center. Completes all online registrations submitted by families. Manage the interpreting services for non‑English speaking patients. Ensure all demographic, insurance, emergency contact and appointment information is updated and verified with caller. Merges guarantors, corrects duplicate patient records and initiates name corrections and DOB corrections with HIM. Verify parental consent details and verify legal custody documents with callers to ensure patient records are up to date. Navigates patients through managed care enrollment process for commercial, marketplace and government based insurance options. Email and text patient’s appointment reminders at their request. Communicate rescheduling details back to the division offices and send out of network and self‑pay notices to the divisions. Insurance Verification Registrar: Runs eligibility queries for upcoming patient appointments. Assists with registration calls. Collaborate with the call center registrars to verify eligibility on appointments that cannot be E‑verified in Epic. Enter insurance referrals into Epic. Create and register all Tele‑echo patients and create early intervention authorizations. Contact insurance companies as needed to verify patient’s active coverage and benefits. Takes calls from division staff and patients needing additional details on insurances Lurie accepts, referral requirements and out of network benefit options. Send out of network and self‑pay notices to the divisions. Outreach/HL7 Registrar: Complete all of the patient creation and patient registration details for Outreach hospitals. Manage the baby names process for Outreach hospitals that see newborns. Coordinate with outreach hospitals on capture of final names for new born babies. Coordinate with Outreach hospitals on demographic issues related to incomplete information received in registration batches. Manages the CIN registration process. Knowledge, Skills and Abilities High school graduate required; BS, BA, or CHAA preferred. Excellent communication/listening skills. Customer centric approach to engaging with patients and families. Ability to make quick accurate decisions on a daily basis. Ability to handle stressful situations. Proficient computer skills and aptitude. Problem solving ability and able to handle multiple priorities. FEMA certification required after hire (ED ONLY). Minimum two years’ experience in pre‑certification, registration, hospital, clinics, or physician office environment preferred. Substantial interpersonal skills sufficient to work effectively with pediatric patients, families, physicians, nursing, other allied health professionals, law enforcement, and funeral directors. Knowledge of ICD‑10 coding, medical terminology, third party billing and collections, and managed care requirements. Knowledge of commercial, marketplace and government managed care products and services. Education High School Diploma/GED (Required) Pay Range $19.00–$28.50 hourly. In addition to base salary, Lurie Children’s offer a comprehensive rewards package that may include differentials for some hourly employees, leadership incentives for select roles, health and retirement benefits, and wellbeing programs. Benefits Medical, dental and vision insurance Employer paid group term life and disability Employer contribution toward Health Savings Account Flexible Spending Accounts Paid Time Off (PTO), Paid Holidays and Paid Parental Leave 403(b) with a 5% employer match Supplemental Life, AD&D and Disability Critical Illness, Accident and Hospital Indemnity coverage Tuition assistance Student loan servicing and support Adoption benefits Backup Childcare and Eldercare Employee Assistance Program and other specialized behavioral health services and resources for employees and family members Discount on services at Lurie Children’s facilities Discount purchasing program EEO Statement Lurie Children’s and its affiliates are equal employment opportunity employers. We value diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin, ancestry, age, disability, marital status, pregnancy, protected veteran status, order of protection status, protected genetic information, or any other characteristic protected by law. For questions about how to request an accommodation please contact: View email address on click.appcast.io AI Notice: Lurie Children’s utilizes certain AI‑enabled features within our recruiting platform to support candidate engagement and assist recruiters in identifying and prioritizing applicants whose experience aligns with job requirements. All employment decisions are made by individuals. It is a civil rights violation with respect to recruitment, hiring, promotion, or employment for an employer to use artificial intelligence that has the effect of subjecting employees to discrimination on the basis of protected classes under the Illinois Human Rights Act or to use zip codes as a proxy for protected classes. For questions about the use of artificial intelligence in this process or any additional support, please contact: View email address on click.appcast.io #J-18808-Ljbffr