Financial Navigator

Virginia Mason Franciscan Health brings together two award winning health systems in Washington state – CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan Health you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region.

Principal Responsibilities:

PATIENT ACCOUNT SPECIALIST
A. In a high call volume setting, provides clarification and education to, as well as research of, patient billing inquiries. Addresses broad range of inquiries covering items such as insurance regulation and processing protocols, charge coding discrepancies, benefit interpretation and adjudication.
B. Provides financial counseling both in advance and post receipt of services. Provides assistance with reimbursement for under or un-insured individuals (including uncompensated care).
C. Collects on private receivables and may participate in collection agency processes (ie: court appearances)
D. Acts as resource to Medical Center for organizational, state, federal and commercial reimbursement procedures and policies as they may pertain to individual patient situations.

PATIENT SERVICE SPECIALIST
A. Provides financial counseling in advance of services, collects prepayments, and provides cost estimates to patients, payers and providers.
B. Responds to patient inquiries regarding benefits and charges
C. Provides assistance with reimbursement to under or un-insured patients
D. Provides bedside financial counseling services
E. Acts as a resource to the medical center for organization, state and federal reimbursement procedures, policies and individual patient status situations.

Proven excellent customer service, communication, verbal and written skills with an emphasis on organization and attention to detail; ability to problem solve and multi-task; keep confidences; knowledge of insurance concepts; ability to meet and exceed service components of this position; demonstrated basic telephone skills (transfer, conference, placing a patient on hold); excel in a team based environment with a positive attitude; comfortable with ambiguity and the ability to be flexible.

Preferred qualifications

6 months previous call center, health care experience and medical terminology

High school diploma or GED