BLANCA HOFFMEYER

• Patient Financial Navigator ensures that each patient has a complete and accurate medical record, which includes patient demographics, insurance coverage, responsible guarantor, and registration precision in a manner which the patient understands the services they are receiving, their financial responsibilities for the services provided, and expectations of them pre and post service. Financial education will be provided to the patients to provide clarity regarding their estimated out-of-pocket expenses and assistance with bill pay options. The Patient Financial Navigator is expected to be knowledgeable on payment alternatives, grants, programs, and any other types of assistance to educate and support the patient on their financial options. This involves determining a patient’s payor source including, but not limited to, obtaining authorization from payor which includes identifying if services need an authorization, referral, or pre-determination as well as if the procedure is a covered benefit, if the payer is out of network, and be able to assist the patient who has questions on an existing bill or invoice. They must be capable of communicating clearly and concisely, both verbally and in writing, with peers, supervisors, payors, physicians, patients, and other departments.

•Deliver exceptional care to all patients in collaboration with family members, physicians, clinicians, and internal/external departments. Maintain confidentiality of patients, personnel, and visitors. Incorporate precise provider orders and referrals into electronic medical records by selecting suitable tests and associating appropriate diagnoses. Schedule and cancel appointments for services, such as lab, x-ray, EKG, mammography, consultations, and follow-up visits accordingly. Interview, collect, record, and validate essential information for patients' pre- and post-registration. Examine services to document proper payor sources for encounters and keep track of financially responsible guarantor information in the account. Assist guarantor with billing inquiries and guarantee proper problem resolution. Explain and comprehend eligibility restrictions, as well as discover additional financial aid resources.

• Respects the confidentiality rights of patients, employees and guests. Discusses confidential information only in appropriate settings and only when necessary.

• Enters Provider orders and referrals completely and accurately into the electronic medical record by choosing the correct test and associating appropriate diagnosis.

• Interviews, collects, records, and validates necessary information for pre-registration and registration of patients.

• Completes automated insurance eligibility verification; Contacts payors to verify insurance eligibility, when applicable, and appropriately document information in the OSF electronic medical record.

• Collects guarantor's identified co-payments, co-insurance, estimates, outstanding balances, and deductibles. Reconciles money received and balances the cash drawer.