Patient Financial Navigator for Multiple Sclerosis

Description

Welcome to Holy Name, a medical center where innovation is not just a goal — it's a commitment. Here, medical excellence thrives, allowing hope to reign supreme and leaving no room for fear. At our hospital, every patient is cared for with undivided attention — because healing every soul is our sole focus.

Holy Name is New Jersey's only independent Catholic health system, comprising a 361-bed acute care hospital, a renowned cancer center, a state-of-the-art fitness center, a residential hospice, a prestigious nursing school, and an extensive physician network. Healing at Holy Name goes beyond medicine and technology – it is infused with faith, conviction, compassion, and a commitment to educating the next generation of healthcare professionals through graduate medical education, a Pharmacy Residency Program, and our Institute for Simulation Learning. Our mission to provide care for the body, mind, and soul spans education, prevention, diagnosis, treatment, rehabilitation, and overall wellness. This is at the core of who we are and what we do, and we've done it this way across generations, every single day, for nearly 100 years. Every innovation, medical breakthrough, and groundbreaking treatment is powered by some of the best minds in medicine, ensuring nothing is left on the table or the road to recovery.


A Brief Overview

Responsible for the complete and accurate registration of all patients in an orderly, expeditious and pleasant manner. Employee must have in-depth knowledge of insurance verification policies and procedures. Has understanding of computer terminals and printers in order to perform daily functions


What you will do

• Promptly answers, screens and processes insurance authorizations and telephone inquiries with strict adherence to confidentially agreements policies and procedures.
• Provides Patients information on Holy Name Medical Center patient programs, policies and procedures.
• Collects and enters all Patient insurance information, into the appropriate medical service software to complete patient record. Collection includes validation of active insurance and ensuring all precertification documents are on file prior to Patient receiving service. Documentation is to be concise, thorough and accurate.
• Financial Navigator is responsible for determining Patient benefit coverage and Patient notification of any financial responsibility, prior to Patient receiving service. This includes follow up of all self-insured and underinsured Patients.
• Financial Navigator is also responsible for transition of patient to Financial Counseling Department.
• Meets outlined Holy Name Medical Center benchmarks and/or quality indicators as monitored through audits or recordings.
• Supports organizational changes. Demonstrates professionalism and flexibility in providing coverage and/or availability for the Call Center via scheduling adjustments for unexpected absences, events or call volume variances.

Education Qualifications

• High School High School graduate or equivalent Required

Experience Qualifications

• 1-3 years Experience with computerized data entry Required and
• 1-3 years Must have hand-on experience working with Medical Health Insurance Companies (specifically authorization). Required

Knowledge, Skills, and Abilities

• Ability to work independently.
• Knowledge of medical terminology, require good communication skills and telephone technique.
• Must be able to work well under pressure.

Holy Name is a mission-driven facility whose quality standards and philosophy are rooted in the principles of its founders, the Sisters of St. Joseph of Peace. Those principles are exercised daily by the Medical Center's dedicated and talented team of physicians, nurses, allied health employees, and a wide variety of non-clinical administrative and operational staff members. Holy Name is an Equal Opportunity Employer.