Specialty Services Patient Navigator - Peoria, Illinois, United States - OSF HealthCare
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Description
Overview:
Expected pay for this position is $ $25.05/hour.
Actual pay will be determined by experience, skills and internal equity.
POSITION SUMMARY:
The Patient Specialty Services 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 Patient Specialty Services Navigator is dedicated to elevating the patient experience through their care journey.Qualifications:
REQUIRED QUALIFICATIONS:
Education:
High School/GED
Experience:
2 years of working experience in healthcare financial services, insurance authorization, insurance verification, appeals, billing, registration, or MOA/CMA role.
2 years experience with electronic medical record systems.
2 years of working knowledge of reading, analyzing, and extracting documentation in 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:
Associates Degree in healthcare or business
Experience:
2 years of working knowledge of pre-certification/prior authorization procedures, advanced medical terminology, reimbursement and regulatory issues, insurance functions and terminology, and utilization of charity care programs.
3 years in a healthcare setting with working knowledge of insurance and appeals experience related to denials management in addition to heavy phone work preferred.
OSF HealthCare is an Equal Opportunity Employer.