Financial Navigator/Hybrid Macomb
: Job Details :

Reports to Revenue Cycle Leadership. Under minimal supervision with an ability to work independently, this position is responsible for assisting uninsured, under-insured and insured patients/guarantors with their financial obligations for prior and current care. The successful candidate will be actively involved in discussion with patients and families to ensure accurate and comprehensive financial information is obtained; connect with patients in regards to a successful resolution of financial obligations (including prior balances); coordinate with insurance carriers to determine healthcare coverage and options; advise patients of available financial assistance programs and assist families in the completion of applications; collaborate with physicians and other healthcare providers to determine long-term care needs. Coordinates activities with clinics and hospital departments.EDUCATION/EXPERIENCE REQUIRED:High school diploma or G.E.D. equivalent required.Associate Degree with course work in mathematics, accounting and computer science preferred.Two (2) years of experience related to patient admitting, registration and/or insurance eligibility and verification in a hospital or medical office setting required.Additional coursework in accounting, computers, financial counseling, and medical terminology is a plus.Possess the ability to read, write, spell and accurately perform mathematical calculation in order to complete various functions related to account balance estimations, payment application, and computing contractual obligations.Essential Technical/Motor Skills: Possess the ability to speak clearly and effectively.Interpersonal Skills:Customer service-oriented including the ability to interact professionally and handle sensitive information/issues in a confidential, respectful, assertive, and empathetic manner in difficult interpersonal situations.Acts in a manner that establishes positive rapport with patients, families, and public/private financial assistance programs.Mental Requirements:Ability to quickly assess and respond appropriately to emergency situations.Ability to comprehend medical terms.Analytical skills to resolve complex problems requiring the use of scientific, mathematical, or technical principles, and in-depth experience in multi-tasking.Ability to deliver consistent results and possess the drive to continually improve processes to benefit the patient and the hospital system.Essential Sensory Requirements:Ability to visually proofread typed work for errors.Ability to communicate via telephone to a variety of groups (patients, patients' families, insurance companies, other departments, etc.)Other Preferred Requirements:Ability to analyze and interpret information included in but not limited to HFHS support application materials, IRS materials, credit reports, payer regulations, payer contracts etc.Analytic skills to assess data and formulate appropriate and prompt sequence of steps to resolve patient questions or concerns.Knowledge of managed care and referral/pre-certification procedures.Understanding and working familiarity with rules and regulations of Federal, State and County programs and payer requirements.Understanding and the ability to maintain patient privacy and confidentiality.Maintains a high level and global knowledge of insurance/managed care requirements, and hospital policies and procedures.Detailed and quality oriented with strong problem solving skills and the judgment to interpret data and take appropriate action in circumstances and situations which vary as well as act as a resource to others.Ability to work independently and manage individual workload to meet productivity standards.Varied schedule required, potentially involving weekend and evening coverage.Bilingual, as appropriate to the work site.Additional InformationOrganization: Corporate ServicesDepartment: Financial CounselingShift: Day JobUnion Code: Not Applicable#J-18808-Ljbffr