Patient Financial Navigator- Full Time

Description

Welcome to Holy Name, a medical center committed to medical excellence, faith, and education. As part of New Jersey's only independent Catholic health system, we offer a range of services including a 361-bed hospital, a cancer center, a fitness center, a hospice, a nursing school, and a physician network.

A Brief Overview

Responsible for the complete and accurate registration of all patients in an orderly, expeditious, and pleasant manner. Must have in-depth knowledge of insurance verification policies and procedures.

Responsibilities

• Promptly answers, screens, and processes insurance authorizations and telephone inquiries with strict adherence to confidentiality agreements policies and procedures.
• Provides patients information on Holy Name Medical Center patient programs, policies, and procedures.
• Collects and enters all patient insurance information into the appropriate medical service software to complete patient records. Includes validation of active insurance and ensuring all precertification documents are on file prior to patient receiving service.
• Documentation is to be concise, thorough, and accurate. Determines patient benefit coverage and notifies patients of any financial responsibility prior to service.
• Follows up on all self-insured and underinsured patients. Transitions patients to the Financial Counseling Department.
• Maintains Holy Name Medical Center benchmarks and/or quality indicators as monitored through audits or recordings.
• Supports organizational changes.
• Demonstrates professionalism and flexibility in providing coverage and/or availability for the Call Center via scheduling adjustments for unexpected absences, events, or call volume variances.

Qualifications

• High School Graduate or Equivalent
• 1-3 years Experience with Computerized Data Entry
• Must have hand-on experience working with Medical Health Insurance Companies (specifically authorization).

Knowledge, Skills, and Abilities

• Ability to work independently.
• Knowledge of medical terminology.
• Good communication skills and telephone technique.
• Must be able to work well under pressure.

Benefits

• Comprehensive benefits package including low-cost medical coverage with generous employer contributions, dental and vision plans, discounted prescriptions, and access to on-site child care.
• Additional benefits include 401(k) matching, tuition reimbursement, paid time off, flexible spending accounts, legal and voluntary coverage options, life insurance, and free on-site parking.

Pay Range

$18.00/hour - $24.00/hour

About the Role

This position plays a crucial role in ensuring that all patients receive the necessary care and support they need, while also maintaining high standards of confidentiality and accuracy in their interactions with insurance companies and patients.

Skills

Strong communication skills, ability to work independently, and proficiency in medical terminology are essential for success in this role.

Benefits

At Holy Name, we believe in investing in our team members' well-being and future. Our comprehensive benefits package includes low-cost medical coverage, dental and vision plans, discounted prescriptions, and access to on-site child care. Additionally, we offer 401(k) matching, tuition reimbursement, paid time off, flexible spending accounts, legal and voluntary coverage options, life insurance, and free on-site parking.

Pay

The starting salary for this position ranges from $18.00/hour to $24.00/hour, depending on various factors including employment status, skills, education, and experience.