Patient Account Navigator
Patient Account Navigator
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Education: High school diploma or GED AND:
- 12 months experience in precertifications customer service medical billing accounts receivable or related experience
Skills:
- Basic knowledge of Health Insurance Portability and Accountability Act (HIPAA) regulations and procedures.
- Excellent verbal and written communication skills.
- Ability to use a 10 key.
- Must be detail oriented.
- Ability to multitask and meet deadlines.
- Ability to read and interpret basic business correspondence safety manuals and policy manuals.
Working Conditions:
- Physical:
- Sitting for prolonged periods.
- Communicates effectively and listens.
- Use of computer and telephone.
- Manual dexterity.
- Environmental:
- Standard Office Environment
Departmental Preferences:
- Bachelors degree
- Experience with Medicaid claims
Equal Employment Opportunity Statement: The University of Oklahoma in compliance with all applicable federal and state laws and regulations does not discriminate on the basis of race color national origin sex sexual orientation genetic information gender identity gender expression age religion disability political beliefs or status as a veteran in any of its policies practices or procedures. This includes but is not limited to admissions employment financial aid housing services in educational programs or activities and health care services that the University operates or provides.
Diversity Statement: The University of Oklahoma is committed to achieving a diverse equitable and inclusive university community by recognizing each persons unique contributions background and perspectives. The University of Oklahoma strives to cultivate a sense of belonging and emotional support for all recognizing that fostering an inclusive environment for all is vital in the pursuit of academic and inclusive excellence in all aspects of our institutional mission.
The College of Dentistry is seeking an experienced Patient Account Navigator to assist patients with their accounts and insurance claims.
Duties:
- Initiates and coordinates insurance or other carrier precertification and prior authorization for patients
- Provides financial counseling to with the business office to ensure timely claim and account followup
- Completes the precertification process communicating with the patient physician insurance company other financial institutions and the hospital
- Interviews patient by telephone or in person to gather financial information in order to determine discounts that may be applicable
- Explains financial responsibilities for services received and payment options to patients and/or insurance or other financial institutes responsible for payment
- Counsels patients regarding insurance benefits and recommends alternative sources of payment and financial assistance when appropriate
- Reviews provider and treatment protocols determines insurance benefits and patient responsibility establish payment arrangements with the patient and documents appropriate practice management system
- Acts as an advocate for the patient when discussing medical care with the insurance carrier or other financial institute
- Checks patients accounts for outstanding insurance claims over 60 days and communicates with the biller to request additional claim followup
- Prepares medical necessity letters for the insurance companies and other financial institutes
- Receives and processes information and forms from the patient and insurance company
- Assists patients with obtaining financial resources for oral medication prescriptions by working with pharmaceutical companies and other resources to obtain grants and financial aid for patients in need
- Performs various duties to successfully fulfill the function of the position
Required Attachments
Documents required for this position are listed under the Required Attachments section of this job listing. You will be required to upload and attach these documents in the application process.
Employment Type
Full-Time
