Financial Navigator - Patient Access @ Cherokee Health Park

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Day (United States of America)

Mon-Tues: 8am to 4:30pm;
Wed: 7:30am to 5:00pm;
Thur: 8am to 4:30pm;
Fri: 7:30am to 3:00pm

Wellstar Cherokee Health Park

• Certified Revenue Cycle Rep (CRCR) Required

The Oncology Financial Navigator is responsible for assisting patients to access financial resources. Serves as a liaison between NGOC, Infusion Therapy and Radiation Oncology Departments. Coordinates full patient financial counseling, education & referrals, employs and completes all patient liability collection escalations through proper collection of all estimated patient liabilities, including co-payments and unmet deductibles before, during and after time of service.

Promotes excellent customer service and strong communication skills to assist patients to access financial resources. Submit applications for PAPs and determines eligibility for any Federal, State, or internal healthcare assistance programs. Evaluate patient insurance benefits and counsel patients on financial matters, including benefits, financial support, drug assistance, co-pay assistance and other assistance programs. Handles inquiries from customers regarding any aspect of services received or status of accounts.

Verifies and post transactions. Follows established procedures for processing receipts, cash, etc. Sorts and files various documents. Establishes financial arrangements to reduce financial risk for WHS, helping to ensure that Wellstar is reimbursed for its services. Has functional knowledge of patient access and billing operations in the specialized field of medical oncology.

• Assist appropriate patients to explore options for financial assistance for oncology services.
• Interviews each patient or representatives to obtain complete and accurate demographic, financial and insurance information.
• Obtains all necessary signatures and is knowledgeable regarding any special forms that may be required by the patient’s third party payer.
• View charges to determine financial estimates and collects appropriate co-pays/ and or deductibles.
• Makes corrections and updates patient account information in computer.
• Documents thorough explanatory notes on patient accounts, concerning any non-routine circumstances, clarifying special billing processes.
• Maintains a working knowledge of available information system capabilities and performs all system applications that are required.
• Understands and applies WHS philosophy and objectives, and PAS policies and procedures, as related to assigned duties. Understands the admission, outpatient and emergency registration process.
• Maintains confidentiality of patient information, in accordance with WHS policy and HIPPA regulations.
• Consistently demonstrates the ability to organize work recognizes and establishes appropriate work priorities, and completes work in a productive manner, without creating backlogs.
• Maintains proficiency in data entry skills.
• Assists with Medicaid screening on all accounts.
• Resolve error in Patient Work Queues
• Follow up with patients for financial assistance needs.

• Greets all guest with a positive and professional attitude.
• Answers incoming phone calls and follows through with requests made.
• Maintains courteous and cooperative working relationships with WHS management, patients, physicians, other professional contacts, and the general public. Demonstrates ability to tactfully handle difficult situations.
• Presents a well-groomed and professional image in coordination with departmental/ hospital dress codes.
• Provides appropriate telephone etiquette and scripting.
• Must be flexible with work hours to meet department needs.
• Meet’s service recovery and customer service guidelines.
• Keep current & convey knowledge of various insurance plans to customers as needed.

• Attempts to collect the estimated self-pay balance of all inpatient, outpatient, and ER accounts, at the earliest possible collection control point.
• Monitors in-house accounts and attempts to make financial arrangements with guarantors for payment of their self-pay balances in full, prior to discharge, or within ten working days there after.
• Communicates with Medicaid Eligibility team and applicable vendor(s) to determine eligibility and approval/denial status as needed.
• Completes financial evaluation forms to document guarantors' income, expenses, assets and liabilities.
• Identifies those patients without adequate insurance coverage. Makes personal contact with patient or guarantor to…