Work in Iowa Veterans Jobs

Location:

Sioux Center, IA

Worker Type:

Regular

Work Shift:

Day Shift (United States of America)

Sioux Center Health is seeking a qualified individual to join our team! Sioux Center Health has been designated a Top 100 Critical Access Hospital by The Chartis Center for Rural Health, awarded a Top Workplace honor by The Des Moines Register, and won Best of the Northwest in 12 healthcare categories. Sioux County also ranked #6 in the nation for being one of the Healthiest Communities according to U.S. News & World Report and CVS. There’s a reason we are a recognized healthcare leader.

Position Highlights

Summary

• The Patient Financial Navigator is responsible for making financial arrangements for patients in a variety of financial and insurance positions; collects deposits prior to service when applicable; and assists in obtaining financing for services. This position must have a basic understanding of government programs and screens and refers patients when applicable. Provides charity applications as requested or deemed appropriate for the patient. Responsible for ensuring insurance eligibility, benefit verification and patient estimates. Understand and interpret patient liability and benefits for all payer types including copays, co-insurance, and out-of-pocket responsibilities to provide patients and families with information on their financial responsibility.

General Hours of Work

• Monday through Friday

Education and/or Experience

• High school diploma or GED; or one to three months related experience and/or training; or equivalent combination of education and experience. One or two year college level education preferred. One to three years prior hospital-based Business Office operation experience preferred. Bi-lingual experience preferred but not required.

Certificate, Licenses, Registrations

• N/A

Essential Functions

Pre-Visit Financial Counseling and Insurance Verification:

• Review patients' insurance benefits and explain coverage details

• Verify patient insurance eligibility and benefits before appointments.

• Process eligibility and secure full benefit coverage information and correct insurance mnemonics.

• Screen (pre-call) scheduled non-urgent patients (in and outpatient) patients prior to service, collect minimum payment prior to surgery and assure plan for financial coverage is in place before service is performed.

• Assist with financial screening and programs explanation.

• Screens self-pay patients for potential payer coverage.

• Provide cost estimates for procedures, treatments, or services.

• Discuss payment options, including payment plans, charity care, or financial assistance programs.

• Identifies all payment sources for accurate primary and secondary payer coverage to prevent denials and/or reduction in payment.

Cost Estimation and Transparency:

• Offer clear and detailed explanations of potential out-of-pocket costs.

• Assist patients in understanding billing statements and breaking down charges.

Assistance with Financial Aid:

• Screens and counsels patients who cannot meet the financial obligations and assists them in obtaining payment options. Sets up payment plans and loans through our 3rd party loan program. Provides information on Charity Application Process as applicable. Prepares and processes files and correspondence for all patients who request assistance and discuss alternative methods of account satisfaction to assure a second option is in place.

• Serves as the primary contact and guide for patients seeking financial assistance for medical services for IA Medicaid or other state/federal assistance programs.

• Understand and communicates processing time frames and requirements for Medicaid, County, Federal Disability, and other programs available to patients.

• Process and track all Medicaid, 3-Day Emergency Medicaid, and Presumptive Medicaid applications turned in from Social Services and Interpretive Services using the Medicaid Pending mnemonic and entering the Medicaid ID or changing to payer to self-pay when approved or denied.

Payment Plan Management:

• Set up and manage payment plans for patients who need to spread out payments.

• Monitor and follow up on payment plan adherence.

Billing Support:

• Collaborate with the billing department to ensure accurate and timely billing.

Education:

• Educate patients on their rights and responsibilities regarding healthcare costs.

• Provide resources and information on budgeting for medical expenses.

Coordination with Clinical Staff:

• Work closely with clinical teams to ensure patients are aware of financial implications related to their care plan.

• Ensure that financial considerations do not delay or prevent necessary medical treatment.

Performs other duties as assigned.

At Avera, the way you are treated as an employee translates into the compassionate care you deliver to patients and team members. Because we consider health care a ministry, you can live out your faith, uphold the dignity and respect of all persons while not compromising high-quality services. Join us in making a positive impact on moving health forward.

The policy of Avera to provide opportunities for all qualified employees or applicants without regard to disability and to provide reasonable accommodations for all employees or applicants who may be disabled. Avera is committed to ensuring compliance in accordance with the Americans with Disability Act. For assistance, please contact HR Now at 605-504-4444.

Additional Notices:

For TTY, dial 711

Avera is an Equal Opportunity/Affirmative Action Employer: Minority/Female/Disabled/Veteran/Sexual Orientation/Gender Identity.