Insurance Navigator- FACES

The Insurance Navigator functions as a member of a highly skilled interdisciplinary team and is responsible for providing support to patients of the FACES clinic. This support includes financial counseling, insurance navigation and facilitating access to medical care. They serve as the primary contact for patients and families regarding financial assistance, and insurance coverage eligibility. This position partners with the managed care group to determine advanced verification of insurance, pre-certification, and benefit determination. The ideal candidate will be patient-centered, highly organized, and a team player with face-to-face patient interaction experience.

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Interviews patients and/or family members to secure information concerning insurance coverage, eligibility, and qualification for various financial assistance programs.
• Meets with patients/families in the clinic to obtain information (i.e. insurance cards, prescription cards, correct demographic information etc.).
• Assesses the patient's need for financial assistance
• Provides resources related to insurance, helps with assessing eligibility, navigation of different insurance options and serves as a liaison to managed care networks.
• Completes notes in the EPIC system on all discussions, events and outcomes.
• Responds to all inquiries regarding patient accounts and financial assistance policies.
• Maintains effective communication and cooperative working relationships with other departments, staff, patients and visitors.

Education: High school graduate. Associates degree preferred.

Skills:
* Excellent customer service and communication skills.
* Ability to work and problem solve with minimal supervision.
* Analytical and decision-making skills with a strong attention to detail required.
* Ability to understand and retain complex and quickly changing information.
* Knowledge of the impact of managed care trends on hospital operations.
* Familiar with medical terminology.
* Able to function as a team member responsible for staffing operational hours.
* Ability to adapt to change positively in workflow and process.
* Keyboarding/typing/data entry skills.

Experience: Two years' experience in registration, collections, customer service, billing or related medical field preferred. Familiarity with government, commercial and third-party billing preferred.

The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individual so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under his/her supervision. EOE M/F/Disability/Vet