Our Core Values:
At Prism Health North Texas, our actions are guided by our Core Values. These values shape every aspect of the employee experience, including hiring, development, performance, and accountability. They are evident in how we serve our patients, engage with communities, and support one another. Our Core Values are:
- We are solution seekers.
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We have a can-do attitude.
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We are mission driven.
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We care about people.
General Description:
The LAI Financial Navigator manages eligibility and insurance verification for patients receiving Long-Acting Injectable (LAI) therapy. The LAI Financial Navigator’s goal is to provide continuous documentation support by helping patients maintain eligibility requirements for service continuity. The LAI Financial Navigator works with patients to determine the payor source that should be used for the patient.
Required Knowledge, Skills and Abilities:
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Proficiency in Excel, Word, and Outlook.
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Demonstrated knowledge and experience working with a diverse client population.
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Demonstrated ability to handle multiple responsibilities to meet tight deadlines in a complex environment.
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Demonstrated knowledge of medical terminology and clinical processes.
- Ability to make decisions related to appropriate client care.
- Ability to effectively communicate in verbal and written formats.
- Ability to establish effective working relationships with clients.
- Ability to manage and work effectively in the required electronic medical record, database, or document portal.
- Ability to work in a multi-site work environment.
Education and Experience:
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A high school degree/diploma or GED.
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5 years of experience in insurance verification and billing in a comprehensive and specialty care environment.
- Experience working with third-party billing service preferred.
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Certification in coding and billing preferred.
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Bilingual in English/Spanish is preferred.
