What are the responsibilities and job description for the Financial Navigator position at Candidate Experience site?
Job Summary
The Financial Navigator functions as the central point of contact for duties of moderate complexity, judgement, and scope in coordinating and managing all aspects related to insurance benefit information, authorization, billing, and collections for all types of complex oncology services. The Financial Navigator will serve as a resource to patients and their families, clinical staff, physicians, and insurance companies. Interviews patients who are uninsured/underinsured and determines which agencies will provide financial assistance with the patient’s hospital and medical bills.
Essential Functions
• Evaluates new patients with cancer for financial barriers to care and investigates insurance benefits and potential gaps of insurance coverage. Considers options to assist the patient in their financial needs.
• Develops a financial plan with patients and their families and serves as a patient advocate during the process of their treatment.
• Works with patients and develops resolutions to potential patient financial out of pocket exposure and helps them plan and overcome these obstacles.
• Responsible for patient satisfaction and identifies potential needs with regards to financial resources such as enrollment with Foundation and Grant Assistance. Maintains records of these financial referrals to track and monitor these funds.
• Pre-screen eligible patients who need assistance with COBRA premiums.
• Refer patients to Oncology Nurse Navigators, Social Workers, PAP Team when appropriate.
• Maintain accurate reimbursement/financial reports for each patient participating in patient assistance programs.
• Organizes education for the community regarding Financial Navigation and the services provided.
• Assists with development of policies, procedures, and standards reflective of current financial practices.
• Serves as an advocate within the community for awareness of current trends and fluctuations within the insurance market and champions oncology resources/services.
Education, Experience and Certifications
Bachelor’s Degree in Accounting, Finance or related field or 4 years of insurance related experience required. Strong understanding and experience with; government safety net programs, Health Insurance policies, external assistance programs and Demonstrated experience in addressing patient financial issues Must be proficient with medical terminology and be familiar with clinical considerations as these relate to oncology services. Extensive analytical skills and focus on details. Excellent written and oral communication skills required. Microsoft Excel, Word, Epic experience preferred. Databases, hospital registration, billing and clinical systems preferred.
