A Patient Advocate or Navigator provides direct assistance to patients at a health care or long term care facility. Guides patients in understanding their options and making important decisions about their treatment plans and medical costs; provides emotional support; and serves as a liaison with health care providers.
Total Rewards OSF HealthCare is dedicated to provide Mission Partners with a comprehensive and market-competitive total rewards package that includes benefits, compensation, recognition and well-being offerings that focus on the whole person and engage with their current stage of life and career. Click here to learn more about benefits and the total rewards at OSF. Expected pay for this position is $21.72 - $25.55/hour. Actual pay will be determined by experience, skills and internal equity. This is an Hourly position. Overview This job is located in Peoria,IL M-F 8:30-5
POSITION SUMMARY:
The Specialty Services Patient Navigator is responsible for being a dedicated point of contact to support patients through the health system for labs, procedures, office visits and exams, radiology studies, specialty referrals, insurance pre-certifications and authorizations for medications and appointments, completing insurance appeals, coordinating care with social support services and assisting with financial assistance for pharmaceutical and charity care programs. Acts as a liaison between insurance companies and patients by initiating financial counseling prior to service when coverage/authorization problems are identified. The Specialty Services Patient Navigator is dedicated to elevating the patient experience through their care journey. Qualifications
REQUIRED QUALIFICATIONS
Education:
High School Diploma/GED Experience:
1 year experience in healthcare financial services, insurance authorization, insurance verification, appeals, billing, registration or MOA/CMA role. 1 year experience with electronic medical record systems. 1 year experience of reading, analyzing and extracting documentation n patient medical charts to complete pre-certifications, pharmaceutical authorizations, procedure and testing authorizations, and the insurance appeals.
Other Skills/ Knowledge:
Excellent interpersonal and communication skills. Solid computer skills, including proficiency with Microsoft software. Strong analytical and problem-solving skills, with the ability to be detail oriented.
PREFERRED QUALIFICATIONS
Education:
Associate degree in healthcare or business
Experience:
2 years' experience pre-certification/prior authorization procedures, advanced medical terminology, reimbursement and regulatory issues, insurance functions and terminology, and utilization of charity care programs. 3 years' experience in a healthcare setting with working knowledge of insurance and appeals experience related to denials management. Experience with heavy phone work.
Licensure/ Certification:
Nationally recognized Revenue Cycle certification. OSF HealthCare is an Equal Opportunity Employer.
Qualifications:
REQUIRED QUALIFICATIONS
Education:
High School Diploma/GED Experience:
1 year experience in healthcare financial services, insurance authorization, insurance verification, appeals, billing, registration or MOA/CMA role. 1 year experience with electronic medical record systems. 1 year experience of reading, analyzing and extracting documentation n patient medical charts to complete pre-certifications, pharmaceutical authorizations, procedure and testing authorizations, and the insurance appeals.
Other Skills/ Knowledge:
Excellent interpersonal and communication skills. Solid computer skills, including proficiency with Microsoft software. Strong analytical and problem-solving skills, with the ability to be detail oriented.
PREFERRED QUALIFICATIONS
Education:
Associate degree in healthcare or business
Experience:
2 years' experience pre-certification/prior authorization procedures, advanced medical terminology, reimbursement and regulatory issues, insurance functions and terminology, and utilization of charity care programs. 3 years' experience in a healthcare setting with working knowledge of insurance and appeals experience related to denials management. Experience with heavy phone work.
Licensure/ Certification:
Nationally recognized Revenue Cycle certification. OSF HealthCare is an Equal Opportunity Employer.
