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Patient Financial Navigator Advisor
2 months ago
About Us:
At Cooper University Health Care, our commitment to providing exceptional healthcare begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies, and research protocols. We have a commitment to our employees by providing competitive rates and compensation, a comprehensive employee benefits program, attractive working conditions, and the chance to build and explore a career opportunity by offering professional development.
Why Cooper University Health Care?
We are a leading healthcare provider in South Jersey, dedicated to delivering high-quality patient care and exceptional service. Our team is passionate about making a difference in the lives of our patients and their families.
Job Summary:
The Patient Financial Navigator Advisor (PFNA) serves as the patient's liaison from physician order through complete billing cycle. This role requires a comprehensive analysis of patients' health insurance, including verification of benefits, prior authorization status, and patients' out-of-pocket liability.
Key Responsibilities:
- Complete a thorough analysis of patients' health insurance to ensure accurate billing and payment.
- Verify patients' benefits and prior authorization status to ensure compliance with insurance requirements.
- Provide patients with a clear estimate of their financial responsibility for all services, including office visits, testing, diagnostic studies, surgeries, and procedures.
- Collect or provide payment arrangements in accordance with policies and procedures.
- Collaborate with patients, clinicians, physicians, and administrators to ensure seamless communication and resolution of financial issues.
Requirements:
- Minimum 3 years of experience in healthcare revenue cycle registration, health insurance, patient financial responsibility, and point-of-service collections, working specifically with health insurance plans.
- Proficiency in working with payer online portals, as well as NaviNet, Passport, or other third-party eligibility systems.
- Intermediate knowledge of Medical Terminology, Health Insurance Plans, and Patient Out-of-Pocket financial responsibility.
- Experience with EPIC system preferred.
- Proven ability to effectively interact with and provide service excellence to patients, clinicians, physicians, and administrators.
Education Requirements:
- High School Diploma required.
- Associates degree or equivalent experience preferred.
Special Requirements:
- Detail-oriented with the ability to multi-task using multiple information systems.
- Excellent time management, organizational, and oral/written communication skills.
- Proficiency in use of MS Office Word and Excel.
- Demonstrated skills in customer service, with ability to project Cooper values to patients, internal customers, and providers.
