<p>Job Posting Title:</p> <p>Financial Navigator, Revenue Cycle</p> <ul> <li>--- </li></ul> <p>Hiring Department:</p> <p>Dell Medical School</p> <ul> <li>--- </li></ul> <p>Position Open To:</p> <p>All Applicants</p> <ul> <li>--- </li></ul> <p>Weekly Scheduled Hours:</p> <p>40</p> <ul> <li>--- </li></ul> <p>FLSA Status:</p> <p>Non-Exempt</p> <ul> <li>--- </li></ul> <p>Earliest Start Date:</p> <p>Immediately</p> <ul> <li>--- </li></ul> <p>Position Duration:</p> <p>Expected to Continue</p> <ul> <li>--- </li></ul> <p>Location:</p> <p>AUSTIN, TX</p> <ul> <li>--- </li></ul> <p>Job Details:</p> <p>Purpose</p> <p>The Patient Financial Navigator is responsible for guiding patients through the financial aspects of their healthcare journey, ensuring they understand their insurance coverage, out-of-pocket costs, and available financial assistance programs. This role involves close collaboration with patients, healthcare providers, and insurance companies to facilitate access to necessary medical services.</p> <p>Responsibilities</p> <p>PATIENT FINANCIAL COUNSELING</p> <ul> <li>Educate patients on their insurance benefits and financial responsibilities. </li><li>Assist patients in understanding and applying for financial assistance programs. </li><li>Provide cost estimates for medical services and procedures. </li><li>Acquires and maintains comprehensive knowledge and expertise in eligibility, enrollment, and program specifications for the federal Marketplace, as well as programs such as Medicaid/CHIP and local county indigent programs. </li><li>Proactively addresses patient concerns. </li><li>Communicates clearly and empathetically. </li><li>Ensures patient satisfaction with financial navigation processes. </li></ul> <p>INSURANCE VERFICATION AND AUTHORIZATION</p> <ul> <li>Verify patient insurance coverage and eligibility for services. </li><li>Obtain prior authorizations for medical procedures and treatments. </li><li>Resolve insurance-related issues and discrepancies. </li></ul> <p>FINANCIAL PLANNING AND COORDINATION</p> <ul> <li>Assist patients in completing the application and enrollment process for healthcare coverage. Facilitate the identification and collection of necessary documentation to accompany application submissions. </li><li>Develop and implement payment plans for patients with outstanding balances. </li><li>Coordinate with the billing and coding department to ensure accurate claims submission. </li><li>Address insurance and authorization issues with the billing team and escalate trends and root causes as needed </li><li>Identifies and resolves complex financial issues. </li><li>Tracks and follows up on pending authorizations. </li><li>Adheres to regulatory and organizational policies. </li><li>Coordinates with healthcare providers and insurance companies. </li></ul> <p>DOCUMENTATION AND RECORD KEEPING</p> <ul> <li>Maintain accurate and up-to-date records of patient financial interactions. </li><li>Document all communications with patients, providers, and insurance companies. </li><li>Ensure compliance with regulatory requirements and organizational policies. </li></ul> <p>PROCESS IMPROVEMENT</p> <ul> <li>Identify opportunities for improving financial navigation processes. </li><li>Implement best practices and streamline workflows to enhance efficiency. </li><li>Timely follow-up on pending external program applications </li></ul> <p>Required Qualifications:</p> <ul> <li>Bachelor's degree in healthcare administration, business administration, or a related field and 3 years of experience in patient financial services, insurance verification, or financial counseling within a healthcare setting OR High School Diploma/GED and 7 years of experience in patient financial services, insurance verification, or financial counseling within a healthcare setting </li></ul> <p>Preferred Qualifications:</p> <ul> <li>Master's degree in healthcare administration or a related field. </li><li>5 years of experience in patient financial services, with experience in a supervisory role. </li><li>Certification in healthcare access management (e.g., CHAM) or Certified Patient Navigator (CPN). </li></ul> <p>Salary Range</p> <p>$45,000 + depending on qualifications</p> <p>WORKING ENVIRONMENT/EQUIPMENT</p> <ul> <li>Standard office environment </li><li>Repetitive use of a keyboard </li></ul> <p>Required Materials</p> <ul> <li> <p>Resume/CV</p> </li><li> <p>3 work references with their contact information; at least one reference should be from a supervisor</p> </li><li> <p>Letter of interest</p> </li></ul> <p>Important for applicants who are NOT current university employees or contingent workers: You will be prompted to submit your resume the first time you apply, then you will be provided an option to upload a new Resume for subsequent applications. Any additional Required Materials (letter of interest, references, etc.) will be uploaded in the Application Questions section; you will be able to multi-select additional files. Before submitting your online job application, ensure that ALL Required Materials have been uploaded. Once your job application has been submitted, you cannot make changes.</p> <p>Important for Current university employees and contingent workers: As a current university employee or contingent worker, you MUST apply within Workday by searching for Find UT Jobs. If you are a current University employee, log-in to Workday, navigate to your Worker Profile, click the Career link in the left hand navigation menu and then update the sections in your Professional Profile before you apply. This information will be pulled in to your application. The application is one page and you will be prompted to upload your resume. In addition, you must respond to the application questions presented to upload any additional Required Materials (letter of interest, references, etc.) that were noted above.</p> <ul> <li>--- </li></ul> <p>Employment Eligibility:</p> <p>Regular staff who have been employed in their current position for the last six continuous months are eligible for openings being recruited for through University-Wide or Open Recruiting, to include both promotional opportunities and lateral transfers. Staff who are promotion/transfer eligible may apply for positions without supervisor approval.</p> <ul> <li>--- </li></ul> <p>Retirement Plan Eligibility:</p> <p>The retirement plan for this position is Teacher Retirement System of Texas (TRS), subject to the position being at least 20 hours per week and at least 135 days in length.</p> <ul> <li>--- </li></ul> <p>Background Checks:</p> <p>A criminal history background check will be required for finalist(s) under consideration for this position.</p> <ul> <li>--- </li></ul> <p>Equal Opportunity Employer:</p> <p>The University of Texas at Austin, as an equal opportunity/affirmative action employer, complies with all applicable federal and state laws regarding nondiscrimination and affirmative action. The University is committed to a policy of equal opportunity for all persons and does not discriminate on the basis of race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, or veteran status in employment, educational programs and activities, and admissions.</p> <ul> <li>--- </li></ul> <p>Pay Transparency:</p> <p>The University of Texas at Austin will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.</p> <ul> <li>--- </li></ul> <p>Employment Eligibility Verification:</p> <p>If hired, you will be required to complete the federal Employment Eligibility Verification I-9 form. You will be required to present acceptable and original documents to prove your identity and authorization to work in the United States. Documents need to be presented no later than the third day of employment. Failure to do so will result in loss of employment at the university.</p> <ul> <li>--- </li></ul> <p>E-Verify:</p> <p>The University of Texas at Austin use E-Verify to check the work authorization of all new hires effective May 2015. The university's company ID number for purposes of E-Verify is 854197. For more information about E-Verify, please see the following:</p> <ul> <li>E-Verify Poster (English) [PDF] </li><li>E-Verify Poster (Spanish) [PDF] </li><li>Right To Work Poster (English) [PDF] </li><li>Right To Work Poster (Spanish) [PDF] </li><li>--- </li></ul> <p>Compliance:</p> <p>Employees may be required to report violations of law under Title IX and the Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act (Clery Act). If this position is identified a Campus Security Authority (Clery Act), you will be notified and provided resources for reporting. Responsible employees under Title IX are defined and outlined in HOP-3031.</p> <p>The Clery Act requires all prospective employees be notified of the availability of the Annual Security and Fire Safety report. You may access the most recent report here or obtain a copy at University Compliance Services, 1616 Guadalupe Street, UTA 2.206, Austin, Texas 78701.</p>