Oncology Financial Navigator

The Oncology Financial Navigator will be responsible for assisting patients with the cost of their oncology treatment, and helping patients understand their own insurance benefits. The Oncology Financial Navigator will be responsible for working with the Epic team to create necessary reports, and developing standard work for identifying appropriate patients and tracking progress. Timely reporting on fiscal year and year-to-date progress will be required, and the Oncology Financial Navigator will be responsible for timely and appropriate communication with co-workers and patients.
Education :
AA preferred, but will substitute 1-year related experience

Experience :
1-2 years customer service experience in a medical field

Skills :
• Skill in written and oral communication
• Skill in using computers and personal productivity applications
• Knowledge and understanding of third party insurers
• Knowledge and understanding of financial assistance, co-pay assistance, foundation assistance and free drug programs
• Skill in using effective customer service techniques
• Skill in data research, analysis and interpretation

Principal Duties and Responsibilities:
• Reviews daily schedule of patients to be seen to identify patients who may be in need of financial assistance
• Provides a timely response to patient questions
• Responds to all inquiries in a courteous, professional manner with a willingness to listen and understand the problem
• Responsible for educating patients and their families regarding insurance benefits, financial assistance, co-pay assistance, foundation assistance and free drug programs
• Relays information to other hospital personnel in the medical center that may be relevant to the patient's care and financial needs
• Develops standard work to track co-pay assistance program enrollment and submission
• Submits claims to and applies payments from assistance programs to the patient's correct account within Epic
• Relays information regarding payments from programs to the patient
• Meets patients as needed to discuss individual insurance coverage
• Pre-screens patients to determine if other financial resources are needed (plan coverage term limits, out of pocket deductibles, copays, etc.)
• Discusses available assistance options
• Refers patients to appropriate financial assistance programs; i.e. hospital, pharmaceutical, or professional societies (Leukemia and Lymphoma Society)
• Assists patients in applying for financial assistance programs
• Works closely with patients and providers to obtain the necessary information for enrollment in programs
• Communicates patient's financial needs to appropriate staff across the care continuum
• Coordinates with Oncology Pharmacy regarding drug replacement
• Responsible for monthly and annual reporting of assistance obtained for patients within each area

Pay Range
$21.91 - $37.08
Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.

Equal Employment Opportunity

GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.