he Patient Financial Navigator Lead ensures that each patient has a complete and accurate OSF medical record. The Patient Financial Navigator Lead will educate and support the patient on their financial options.
The Patient Financial Navigator Lead functions as a team resource on highly complex issues and problem resolution. Serves as a dedicated escalation point for multiple functional areas and determine the appropriate outside resources that are required to support escalation. This position has a significant understanding of the revenue cycle and the importance of evaluating and securing all appropriate financial resources for patients to maximize reimbursement to the Health System.
Provides support to Patient Financial Navigators to ensure quality and efficiency of functions performed including mentoring, training, quality assurance, assists with screening of potential candidates, analyzing reports, auditing, account resolution, completion of department schedules and payroll/timekeeping. The Patient Financial Navigator Lead is expected to guide and support change and process improvement opportunities throughout the department and work with the department leadership to set standards, develop, and execute improvement plans.
Associate’s Degree or equivalent experience of 2 years in a healthcare or public health setting with one of a combination of the following: patient finance, insurance benefits, financial assistance programs, public health, social services, or other community based background.
2 years experience in healthcare collection, financial counseling, insurance benefit verification and/or precertification, third party payor, Medicaid case work, admitting or billing experience.
1 year experience with customer service/relations.
Required to complete all required revenue cycle training and certification level I, level II, and Level III within one year of hire.
eets requirements for internal Revenue Cycle Patient Access quality audits, competencies, productivity, performance, and adheres to the Standards of Performance.
Bachelor Degree in Business Administration or Healthcare related field
HFMA or CRCR certification
Advanced knowledge of CPT4, ICD9/10, HCPCS, and modifiers.
Knowledge of medical terminology.
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