Financial Navigator

Overview

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.

Preferred

We are seeking candidates who are bilingual in English and Spanish. This skill is highly preferred as it will enhance communication with our diverse populations served and support our commitment to providing excellent service.

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.

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:

Compensation

Base Pay: $19.65 - $29.47 hourly

Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance

Benefits and more

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

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.