Northern Arizona Healthcare · 8 hours ago
Admissions Counselor (Financial Navigator) - Remote (see full posting for eligible states)
United States
Full-time
Remote
Entry, Mid Level
2+ years expNorthern Arizona Healthcare is seeking an Admissions Counselor (Financial Navigator) to manage patient demographic and insurance information during the admission process. The role involves verifying insurance benefits, providing financial education, and ensuring authorization for medical services while acting as a resource for clinical areas regarding financial counseling questions.
Health CareMedicalNon Profit
Responsibilities
Demonstrates high degree of proficiency in computer skills and Microsoft applications; includes navigation of web-based or system applications required for Patient Access Services with keyboarding of 50+ wpm
Accurate identification of patient for direct data entry of required clinical, demographic, and insurance information to the electronic medical record during registration or for appointment booking of assigned procedures
Provides detailed explanation of scheduled procedures and patient instructions that are associated to the medical service
Ensures system documentation specific to the patient visit is entered and accurately reflects activities related to patient or provider contact, order documentation, insurance verification, financial education, and payment
Provides explanation of legal forms and secures signature of patient/authorized party as required for services
Performs medical necessity checking for identified services; secures required ABN documentation as appropriate
Demonstrates thorough understanding of compliance standards required within a healthcare environment including EMTALA and HIPAA-Privacy Patient Confidentiality regulations
Accurate identification and selection of insurance carrier in the patient medical record for specified dates of medical services
Navigates web-based products or system applications to initiate and document insurance eligibility, benefit details, authorization requirements
Performs required notifications to ensure insurance authorization for identified medical services, including surgical/special interventional procedures and inpatient/observation stays, are secured and documented
Demonstrates advanced knowledge of CPT, ICD10 coding, and physician order documentation as required for medical services including determinations for medical necessity
Demonstrates expert knowledge of regulatory or Third Party Payer insurance requirements including Medicare, AHCCCS/Medicaid, Workers Comp and other commercial payers
Educates the patient on insurance eligibility, coverage, procedure costs, alternate resources for financial assistance, and payment arrangement guidelines
Uses professional negotiation techniques to collect identified patient financial liabilities; performs secured payment entry and deposit/cash reconciliation steps
Navigates web based products to initiate, document, and provide charge estimation for Inpatient/Observation stays, Surgical/Special Interventional procedures or service categories based on patient requests or financial counseling needs
Demonstrates advanced conflict resolution skills to address issues related to scheduling, registration or the financial assistance application approval process
Makes direct contact on behalf of the patient to providers, insurance representatives, or outside agencies such as Arizona Department of Economic Security to initiate and monitor success of AHCCCS application process
Monitors system work lists to provide necessary financial counseling follow-up for private pay patients in the Emergency Department and Inpatient/Observation settings. Ensures patient account is updated to reflect new payer source(s)
Handles department call volumes as assigned to appropriately respond to requests from patients, providers, or other hospital departments
Acts as an expert resource to clinical departments for registration/scheduled services related to data entry of patient account fields, provider order requirements, and questions regarding insurance coverage or financial assistance
Coordinates information with Nursing Units or Care Management related to registration, financial counseling, or insurance coverage and benefit limits affecting patient length of stay and discharge planning efforts
Monitors and analyzes Revenue Cycle reports and system work lists to ensure accuracy of patient record and that all process steps, insurance requirements, and compliance standards have been met for scheduling, registration, and financial counseling activities
Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner
Stays current and complies with state and federal regulations/statutes and company policies that impact the employee's area of responsibility
If required for the position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates
Completes all company mandatory modules and required job-specific training in the specified time frame
Qualification
Required
High School Diploma or GED
2 years in a customer service role
Proficiency in Microsoft applications (Excel, Word, PowerPoint)
Preferred
Associate's Degree
3 - 5 years experience in a medical facility, health insurance, or related medical field
Medical Terminology course work
Company
Northern Arizona Healthcare
Northern Arizona Healthcare is a healthcare organization in Northern and Central Arizona.
1001-5000 employees
H1B Sponsorship
Northern Arizona Healthcare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (3)
2024 (12)
2022 (2)
2020 (1)
Funding
Current Stage
Late StageLeadership Team
David Cheney
President and Chief Executive Officer
Cliff Loader
Chief Financial Officer
Recent News
2025-11-13
Phoenix Business Journal
2025-03-06
Company data provided by crunchbase