Job Information
Henry Ford Health System Financial Navigator/Hybrid Macomb in Macomb, Michigan
Reports to Revenue Cycle Leadership. Under minimal supervision with an ability to work independently, this position is responsible for assisting uninsured, under-insured and insured patients/guarantors with their financial obligations for prior and current care. The successful candidate will be actively involved in discussion with patients and families to ensure accurate and comprehensive financial information is obtained; connect with patients in regards to a successful resolution of financial obligations (including prior balances); coordinate with insurance carriers to determine healthcare coverage and options; advise patients of available financial assistance programs and assist families in the completion of applications; collaborate with physicians and other healthcare providers to determine long-term care needs. Coordinates activities with clinics and hospital departments.
EDUCATION/EXPERIENCE REQUIRED:
High school diploma or G.E.D. equivalent required.
Associate Degree with course work in mathematics, accounting and computer science preferred.
Two (2) years of experience related to patient admitting, registration and/or insurance eligibility and verification in a hospital or medical office setting required.
Additional coursework in accounting, computers, financial counseling, and medical terminology is a plus.
Possess the ability to read, write, spell and accurately perform mathematical calculation in order to complete various functions related to account balance estimations, payment application, and computing contractual obligations.
Essential Technical/Motor Skills:
Possess the ability to speak clearly and effectively.
Interpersonal Skills:
Customer service-oriented including the ability to interact professionally and handle sensitive information/issues in a confidential, respectful, assertive, and empathetic manner in difficult interpersonal situations.
Acts in a manner that establishes positive rapport with patients, families, and public/private financial assistance programs.
Mental Requirements:
Ability to quickly assess and respond appropriately to emergency situations.
Ability to comprehend medical terms.
Analytical skills to resolve complex problems requiring the use of scientific, mathematical, or technical principles, and in-depth experience in multi-tasking.
Ability to deliver consistent results and possess the drive to continually improve processes to benefit the patient and the hospital system.
Essential Sensory Requirements:
Ability to visually proofread typed work for errors.
Ability to communicate via telephone to a variety of groups (patients, patients' families, insurance companies, other departments, etc.)
Other Preferred Requirements:
Ability to analyze and interpret information included in but not limited to HFHS support application materials, IRS materials, credit reports, payer regulations, payer contracts etc.
Analytic skills to assess data and formulate appropriate and prompt sequence of steps to resolve patient questions or concerns.
Knowledge of managed care and referral/pre-certification procedures.
Understanding and working familiarity with rules and regulations of Federal, State and County programs and payer requirements.
Understanding and the ability to maintain patient privacy and confidentiality.
Maintains a high level and global knowledge of insurance/managed care requirements, and hospital policies and procedures.
Detailed and quality oriented with strong problem solving skills and the judgment to interpret data and take appropriate action in circumstances and situations which vary as well as act as a resource to others.
Ability to work independently and manage individual workload to meet productivity standards.
Varied schedule required, potentially involving weekend and evening coverage.
Bilingual, as appropriate to the work site.
Additional Information
Organization: Corporate Services
Department: Financial Counseling
Shift: Day Job
Union Code: Not Applicable
Additional DetailsThis posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.
Overview
Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers .
Benefits
The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is committed to the hiring, advancement and fair treatment of all individuals without regard to race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height, weight, marital status, family status, gender identity, sexual orientation, and genetic information, or any other protected status in accordance with applicable federal and state laws.