Financial Navigator - Cancer Center

Position Summary

The Financial Navigator for the Cancer Center has a critical role in providing solutions to patients in treatment relative to any financial burden related to their care. The Financial Navigator identifies barriers to their ongoing cancer care and provides financial counseling, working closely with Cancer Center leadership, physicians and other internal and external key stakeholders across the revenue cycle in Patient Access, Authorizations, Patient Accounts, as well as Patient Assistance programs, Pharma Drug Replacement programs, and other financial resources to assist Cancer Center patients and ensure maximum benefit both to patients in need and to the organization.

Duties

• Mets with all new patients to review insurance, verification coverage and explore insurance options for insured, under-insured and uninsured.
• Educates on the availability of alternative insurance options (i.e. Medicare, Medicaid, Medicare Supplement, COBRA) and facilitates access to these programs.
• Discusses the Medicare application with eligible patients and assists with the application process.
• Discusses situation and options if employment status changes or other situations change.
• Collects necessary documents to complete initial and annual financial aid application.
• Discusses insurance options when insurance contracts are terminated.
• Completes monthly audit exam to stay current on internal policies.
• May present on insurance and financial assistance options to patients as necessary.
• Aids under-insured or uninsured cancer patients enroll in coverage.
• Obtains documentation for proof of income.
• Edits patients regarding benefits.
• Conducts medical necessity verification and obtains signed Advanced Beneficiary Notice or Statement of Financial Responsibility for non-covered services.
• Enters and enrolls patients in pharmaceutical patient assistance programs including copay card eligibility and activation.
• Tracks all activities on behalf of patients.
• Contacts foundations to access patient support programs.
• Identifies patients appropriate for copay cards - Completes and processes applications.
• Reviews all payment/financial options (financial hardship, Medicaid applications, Access DuPage, payment plans, etc.).
• Reviews non-covered services and documents/escalates.

Qualifications

• Bachelor's Degree plus 2 years’ experience in financial entitlements, case management/human services advocacy or, in lieu of Bachelor’s degree candidate can possess an Associate's degree and 4 years’ experience in financial entitlements, case management/human services advocacy.
• Proficient with PCs and Microsoft Office applications.
• Experience with direct patient interaction.
• Excellent written and communication skills.
• Exemplary customer service orientation, positive attitude and demeanor.
• Strong organizational and time management skills.
• Ability to work independently.

Preferred Qualifications

• Healthcare or insurance industry experience.
• Experience with Medicare, Social Security and Medicaid systems.
• Medicaid certified.
• Bilingual in English/Spanish.

Special Notes

Resume/CV should be included with the online application. Posting Overview: This position will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. Candidates are advised on the application that for full consideration, applications must be received before the initial review date (which is within two weeks of the posting date). If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date. Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.