Patient Financial Navigator Advisor
Company: Cooper University Health Care
Location: Camden
Posted on: January 26, 2023
Job Description:
About usAt -Cooper University Health Care, -our commitment to
providing extraordinary health care 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 programs,
attractive working conditions, and the chance to build and explore
a career opportunity by offering professional development.
-Discover why Cooper University Health Care is the employer of
choice in South Jersey. Short Description The Patient Financial
Navigation Advisor (PFNA) acts as the patient's liaison from
physician order through complete billing cycle. The PFNA will
complete a comprehensive analysis of patient's health insurance to
include verification of benefits, prior authorization status and
patient's out of pocket liability. - PFNA will educate and provide
patient with a clearly defined estimate of the patient's financial
responsibility for all services, including office visits, testing,
diagnostic studies, surgeries and procedures via phone, written
correspondence and MyChart communication. PFNA will collect or
provide payment arrangements in accordance with policies and
procedures. -Financial screening process encompasses any or all of
the following job functions:
Financially screens insured patients
prior to inpatient and outpatient services including office visits,
testing, diagnostic studies, surgeries and procedures by verifying
patient insurance eligibility and registering insurance information
into the EPIC system when needed.Reviews patient history involving
past illnesses, treatment locations, diagnosis and final outcomes
when CPT codes are not available.Determines outstanding patient
responsibility for hospital and physician charges to include past
due liabilities in all communication to the patient.Creates
financial estimate by providing insurance based out-of-pocket
liability estimates for patients scheduled for outpatient and
inpatient elective procedures.Establishes contact with the
patient.Educates patient on out-of-pocket financial
responsibilities including copay, deductible, coinsurance and
out-of-pocket maximums.Attempts to collect payment in full prior to
date of service or documents in EPIC patient will pay at time of
service for Patient Services Representative to collect during
registration process.Makes payment arrangements where
applicable.Serves as PFNA throughout billing cycle.Verifies active
Auto and Workers' Compensation claims in relation to patient
treatment plans. Monitors Work Queue accountabilities for estimates
that need to be completed to balance the patient's needs,
individual performance goals and avoid delays in communication of
patient financial liabilities.Provides clear and concise
documentation in Epic to ensure precise throughput of patient
financial liability information. Uses professional, clear, concise,
and customer-friendly communication at all times to internal
customers, providers and patients. Provides a stellar experience to
Cooper patients; is proactive in serving patients and acts
responsibly in the patient and Cooper's best interest.Resolves
patient challenges by offering alternatives with minimum escalation
or support, trying to retain patients within the Cooper
network.Performs all process and system-related functions in
accordance with training and quality guidelines.Perform all related
duties or special projects as assigned/required.Regular, consistent
and punctual attendance required, following Cooper time and
attendance policies. Must display a genuine interest in providing
an excellent Customer Experience that aligns with Cooper's business
goals related to patient access throughout the Cooper landscape.
-Experience RequiredMinimum 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 on-line portals, as well as NaviNet, Passport or other
third party eligibility systems required. -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 RequirementsHigh School Diploma required.
Associates degree or equivalent experience preferred.
Keywords: Cooper University Health Care, Camden , Patient Financial Navigator Advisor, Accounting, Auditing , Camden, New Jersey
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