Patient Financial Navigator

SUMMARY The Financial Navigator is responsible for completing all insurance eligibility andverification processes to support individualized financial counseling for eachpatient regarding their financial responsibilities. Financial counselingmeetings will be conducted with all patients within the initial weeks oftreatment. These meetings will result in either payment in full of thepatient’s outstanding balance or the establishment of a payment plan inaccordance with company policy. Performsthe following duties personally and coordinates with team members to ensuresuccessful completion of assigned tasks. ESSENTIALDUTIES AND RESPONSIBILITIES include the following. Otherduties may be assigned. Essential Duties: Meets with patients toexplain cost of treatment, insurance coverage, and patient financialresponsibility. Coordinates properinsurance verification information/documentation of patient’s insurance,to be used to estimate the patient’s financial responsibility. Responsible forcollecting co-pays/deductibles from patients, assisting with establishingeffective and timely payment plans. Courteously andprofessionally works with patients to outline financial obligationsrelated to care, and provides options for patients to meet financialrequirements, including assessing financial assistance eligibility,determining insurance coverage eligibility, establishing paymentarrangements, collecting preservice payments and co-payments as needed. Responsiblefor monitoring and collecting the financial balances owed by our patientsduring their course of treatment. Reviews all payment /financial options (Financial hardships / Charity, Special arrangementoptions, Payments plans, etc.) to limit risk of non-payment. Assistspatients with questions regarding billing and insurance payments. Assists patients withapplying for local grants, foundations, and free drugs to offset thepatient responsibility. Complete wrap upmeetings with patients at the end of treatment to ensure patients adhereto payment obligations. This position servesto educate patients regarding their insurance coverage and individualfinancial responsibility for cancer therapies. Further, the position willprovide patients access to financial resources available to them as wellas assistance with the process. Completely andaccurately document conversations and communication with patients, payors,third party vendors, and any other representative in and outside of theorganization. Payment postings. This job description in no way states or implica that these are the only duties to be performed by this employee. He or she will be required to follow any other instructions and to perform any other duties requested by his or her supervisor. SUPERVISORYRESPONSIBILITIES Thisjob has no supervisory responsibilities. QUALIFICATIONS To perform this job successfully, an individualmust be able to perform each essential duty satisfactorily. The requirementslisted below are representative of the knowledge, skill, and/or abilityrequired. Reasonable accommodations may be made to enable individuals withdisabilities to perform the essential functions. EDUCATIONand EXPERIENCE Twoor more years’ experience in medical office setting. Experiencein collections. Requiresinterpretation of insurance coverage eligibility, and ability to addressany in/out of network coverage or self-pay issues. Strongknowledge of medical terminology as well as ICD-10 and CPT codes. Excellentoral and written communication skills. Detailoriented with good organizational skills. Mathematicalskills: Ability to add, subtract,multiply, and divide in all units of measure, using whole numbers, commonfractions, and decimals. Workunder limited supervision with ability to understand and meet departmentproductivity standards. Maintaina positive and respectful attitude. Bi-lingualin Spanish is a must Other Requirements Travel as required to other centers #J-18808-Ljbffr