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Wellstar Health System · 2 hours ago

PAS Financial Navigator - Oncology

Cartersville, GA

Full-time

Onsite

Entry Level

1+ years exp

Wellstar Health System is dedicated to enhancing the health and well-being of every person they serve. The Oncology Financial Navigator is responsible for assisting patients in accessing financial resources, coordinating patient financial counseling, and ensuring proper collection of estimated patient liabilities.

FitnessHealth Care

Responsibilities

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 determine guarantor's ability to pay non-covered charges, as well as to determine potential eligibility for financial assistance programs (namely Medicaid)

Maintains a list of health care financial assistance programs and the eligibility requirements for each program. Refers patients/guarantors to sources of outside funding assistance, distributes financial assistance (i.e. Medicaid) applications as need

Works efficiently and accurately within designated time frames to ensure a continuity of information and cash flow

Interviews all inpatients and select (self-pay) outpatients at time of registration, or at least within 24 hours of admission, to verify complete insurance and financial information, explain financial policies, and collect the estimated self-pay balance

Documents concise and understandable notes regarding all self-pay account collection activity, as well as each patient or guarantor interaction. Documents all efforts to collect patient account balances, other self-pay collection activities and referrals to Medicaid

Verifies insurance coverage and benefits

Exceeds monthly quota on a consistent basis. Formally reports results of PAP enrollment activity to direct supervisor, on a daily basis or according to policy. Provides feedback to PAS management concerning PAP enrollment and data integrity issues

Responsible for completion of appropriate error/issues in WorkQueues

Observes work hours and provides proper notice of absences, tardiness work schedule changes

Cross-trained in all areas of registration

Attends select departmental meetings at the request of WHS Management

Completes annual mandatory training as required

Maintain several Login ID’s & expertise in various insurance pre-certification and authorization processes

Performs other duties as assigned

PAS Oncology Financial Navigator are Level III team members and as such serve as preceptors and mentors therefore must:

Maintain a 98% based on individual QA audit /or as reported by Epic (min. of 10 accounts) registration accuracy rate or higher in the past 12 months

Maintain minimum productivity requirements

Has no corrective disciplinary action during the past twelve (12) months

Willing and able to function as a preceptor in the orientation of new patient access personnel and students

Maintain required certifications by obtaining necessary CEUs and submitting timely to certifying board

Performs other duties as assigned

Complies with all WellStar Health System policies, standards of work, and code of conduct

Qualification

Patient Access ServicesEpic experienceHealthcare financial assistanceData entry competencyCash handlingEffective communicationMicrosoft Office SuiteProfessionalismProblem solvingAttention to detailActive listening