Financial Navigator - Infusion Therapy - Paducah Cancer Center

About the Role

The Financial Navigator is responsible for comprehensive patient financial management, working closely with providers, patients, hospital staff, and practice administration to determine and execute the most appropriate fiscal solutions. This role provides analytical and operational support for facility administration and financial-related activities, including drug recovery within facilities, billing and payment processes, and analysis and evaluation of financial performance.

Responsibilities

• Conducts financial counseling for all infusion patients prior to initial treatment, including notification of financial obligations.
• Conducts screening, enrolling, and obtaining copay assistance and/or free drugs for patients through Patient Assistance Programs (PAP).
• Manages drug procurement for indigent and underinsured populations and all aspects of drug recovery programs within local facilities.
• Monitors drug shipment status from approval through receipt of drug at the hospital pharmacy.
• Develops and maintains a close interface with all components of the drug recovery and copay assistance process, including patients, key hospital departments, and drug manufacturers and/or foundations.
• Manages patient payment status and data, including insurance coverage, self-pay credits, and account write-offs to resolve problems.
• Maintains patient assistance database.
• Coordinates procuring free drugs for accounts with medical necessity denials.
• Submits referrals to support services (e.g., Medicaid screening, charity financial assistance, social worker, etc.).
• Prepares evaluations of hospital, facility, or pharmacy-related concerns and proposals to quantify financial implications.
• Compiles and analyzes internal data for inpatient and outpatient services and distributes reports as needed.
• Establishes and maintains relationships with community agencies and organizations to meet patient needs.
• Coordinates, educates, and trains staff on patient assistance programs and offers in-service training sessions.
• Ensures compliance with HIPAA policies and procedures, protecting and disclosing patients’ protected health information (PHI) only in accordance with HIPAA standards.

Qualifications

• Commissioned Notary (required within 6 months of employment)
• High School/GED (required)
• Bachelor’s in Business/Healthcare Administration (preferred)

Work Experience

• Minimum of 2 years’ experience in a professional healthcare environment (required)
• Minimum of 2 years’ experience as a financial biller in a healthcare setting, social worker, and/or Certified Pharmacy Technician (required)
• 1 Year Experience With EPIC Functionality (preferred)
• 2 years’ experience in social work with specialized patient populations (e.g., oncology, hepatology, neurology) (preferred)
• Prior Experience With Patient Assistance (preferred)

Training

• Completion of Association of Community Cancer Centers (ACCC) Financial Advocacy Boot Camp within 3 months of employment (required)

Skills

• Ability to work independently with minimal supervision
• Strong computer skills and knowledge of software programs (e.g., Microsoft products, Epic)
• Ability to build strong relationships within and outside the organization
• Proficient math and accounting skills
• Critical thinking and problem-solving abilities
• Strong communication and interpersonal skills
• Attention to detail
• Customer service and empathy
• Results-oriented mindset

Benefits

• Competitive pay, incentives, referral bonuses, and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources, and discounts
• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
• Tuition assistance, professional development, and continuing education support

Benefits may vary based on the market and employment status.