Enrollment Financial Navigator (Cooper Green)

patient or their responsible party to obtain missing or incomplete demographic or insurance information. Verifies insurance through electronic processes; Contacts insurance company to obtain eligibility and verification of covered and non-covered services for scheduled appointments. Enrollment Financial Navigator must be able to multi-task, utilizing and matching a variety of traditional and online access solutions. The Financial Navigator must have a general idea and knowledge about the field. Excellent grammar skills, proofreading, and proficiency in writing along with interpersonal customer service skills. KEY RESPONSIBILITIES o Understand how financial toxicity can impact a patient's wellness. o Meet the patient and/or caregiver of the patient while the patient is hospitalized (or other patient populations as assigned) with the goal of ensuring enrollment as a Cooper Green patient and providing the patient with a follow up appointment post discharge. o Work on-site at designated hospital to evaluate a patient's eligibility and/or enroll for health care services once discharged or while in house o Act as a liaison for entities that partner with Cooper Green Mercy Health Services Authority and other departments within the organization/facility, organizing and coordinating meetings either in person, on site and through virtual platforms to communicate status changes and updates related to patient eligibility within the program. o Relays program and eligibility criteria to the patient. o Communicates and collaborates with patients, physicians, and payors providing them with the necessary information and supporting financial documents. o Promotes a culture of safety for patients through proper identification, reporting, and documentation. o Ensures accurate and efficient processing of applicants applying for Indigent assistance. o HIPAA compliant to ensure confidentiality and integrity for the patient's privacy. o Customer service oriented when assisting patients and maintains a calm, reassuring demeanor with patients or family members who may be upset over concerns about charging or amount owed on a bill. o Work with patient and care givers to reduce / prevent financial toxicity by guiding patients through the complex healthcare system. o Assist patients in gaining access to care by reducing financial barrier. o Understand key programs, including but not limited to: Cooper Green Mercy Health Services Authority, Disability, Social Security, Medicare, Medicaid, and The Marketplace, and/or Commercial Payors. o Ensure the patient has all of the information to make the right choice to leverage available programs and services. o Understand insurance payor benefits information. Daily Operations o Daily review of patient lists for possible patients that need financial assistance, seeks those patients out by visiting in patient units, emergency departments, telephone, patient interviews or other means. o Meet the patient at their hospital bedside to discuss and enroll patient to Cooper Green's program. o Gather patient financial information to determine eligibility. o Evaluate the patient's financial status compared to the federal poverty guidelines and recommend products accordingly. o Assists in the referral process to federal and state sponsored payors (Medicare and Medicaid). o Assists in the completion of the Cooper Green MHS application and collection of documents. o Records in the EMR (NextGen) system of the level of coverage and eligibility information. o Ensure all insurance demographic and eligibility information is obtained and entered in the system thoroughly and accurately. o Correctly expires inactive payor plans; adds or uses replace function to enter new insurance. o Verifies insurance(s) using Real-Time applications, payor websites, or by phone call to the insurance company. o Enters insurance information correctly in demographics, selecting appropriate financial classes or plans; records eligibility, effective/expiration dates, co-payments, PCP, and other specified information. o Explain financial requirements to patients or other responsible party. o Schedule patients for their hospital follow up appointment with their newly assigned PCP or in MOD clinic depending upon PCP availability. o Print out appointment reminders along with documents needed for the appointment. o Research patient accounts when requested by the supervisor or manager, taking appropriate actions. o Maintain appropriate databases, manuals, logs, files, and other required documentation; demonstrate an understanding of patient confidentiality. o Assists patients and staff timely and in a clear, helpful manner when performing enrollment assessments and/or verification duties. o Proactively shares new information related to enrollment, demographic or insurance updates with all appropriate areas and team members. o Other duties and/or other patient populations as assigned by the supervisor. Qualifications MINIMUM QUALIFICATIONS Required: The position requires a high school diploma or equivalent. Dynamic, enthusiastic, and highly customer service-focused personality and ability to consistently deliver an exceptional customer service experience. Dedicated to increasing overall customer service satisfaction by displaying excellent communication/telephone skills at all times. 2+ Years of Customer Service experience is required. Experience in health information management, physician office, hospital or other clinic environment Must be detail-oriented with the capability to handle confidentiality. Must have good communication skills. Must have computer proficiency with typing skills >35 words per minute. h. Access to reliable personal transportation with a valid driver's license and auto insurance required i. Auto insurance must include: $100,000 of bodily injury per person; $300,000 per accident for bodily injury liability; and $100,000 per accident for property damage liability. Preferred: Working knowledge of processes for all major insurance carriers, intermediaries, Medicare and Medicaid Bilingual ability. WORK ENVIRONMENT This on-site role will travel to other nearby clinic locations. May need to lift up to 50 lbs on occasion and 51+lbs with a colleague or team. May have access to sensitive data PAY RANGE $16.50-26.80 Job:Clerical %26 Administrative