Financial Navigation Coordinator - Financial Counseling Job Chapel Hill area,North Carolina USA,Healthcare

Description

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.

Summary

The Financial Navigation Coordinator (FNC) is responsible for complex patient financial navigation including but not limited to insurance benefits investigation, estimate creation, point of service collections, and case management to help facilitate access to and provide continuity of care for financially complex patients. The Financial Navigation Coordinator achieves this by working with members of the Executive Administrative Executive Committee (EAEC), Managed care, clinic leadership, insurance, and other administrative personnel.

Responsibilities

Financial Management - Facilitates pre-service review of financially complex patients/referrals seeking scheduled or elective care and incoming inpatient transfers not subject to EMTALA. Patients in this cohort often have out of network insurance, non-North Carolina Resident, or International (non-US Citizen).

Financial and Clinical Clearance Committee - receive requests from clinics/departments/providers/transfer center for consideration of patient referrals for scheduled or elective services per policy. Review requests in detail, apply appropriate policy guidelines, complete complex financial review, and present cases to the multidisciplinary committee for consideration. Communicate terms of policies and payment expectation with prospective patients and clinical teams.

Patient Counseling and Financial Management - Upon committee decision, discuss insurance requirements and other applicable financial policies with patient and/or family members with emphasis on the cost of care. Advise patient of out-of-pocket liability, work with the providers to create complex estimates, coordinate wire funds transfers or other forms of payment, and facilitate single case agreements when applicable.

Policy Support - Implements and communicates revenue cycle health care system policies and procedures to employees, patients and their families. Serves as a resource for employees and management in the interpretation and application of a variety of policies and procedures. Monitors compliance with policies and procedures and makes recommendations for changes as appropriate. Provides education and training as needed on revenue cycle policies.

Report Management and Data Analytics - Maintains database of patient referrals including final committee outcome. Properly documents and flags patient accounts under review in the medical record. Reports data analytics on a regular basis to leadership and multidisciplinary committee. Advises committee on trends that may require further review.

Other Information Education Requirements

Bachelor's degree in an appropriate discipline (or equivalent combination of education, training and experience).

Licensure/Certification Requirements

No specific licensure or certification requirements listed.

Professional Experience Requirements

If a Bachelor's degree:
Four (4) years of experience in health care operations, including two (2) years of experience with private and federal insurance programs.
If an Associate's degree:
Eight (8) years of experience in health care operations, including two (2) years of experience with private and federal insurance programs.
If a High School diploma or GED:
Twelve (12) years of experience in health care operations, including two (2) years of experience with private and federal insurance programs.

Knowledge/Skills/and Abilities Requirements

No specific knowledge/skills/abilities listed.

Job Details

Legal

Employer:

NCHEALTH

Entity:
Shared Services

Organization Unit:
Financial Counseling

Work Type:
Full Time

Standard Hours Per Week: 40.00

Salary Range: $20.74 - $29.52 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type:
Onsite

Work Schedule:

Day Job

Location of Job: US:

NC:

Chapel Hill

Exempt From Overtime:
Exempt:
No

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.

Equal

Opportunity & Accessibility

Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation. UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities.

Please email applicant.accommodations.edu if you need a reasonable accommodation to search and/or to apply for a career…


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