Financial Navigator - Infusion Therapy - Paducah Cancer Center

About the Role

The Financial Navigator is responsible for comprehensive patient financial management, conducting patient financial navigation and fiscal need assessments. This role involves close collaboration with providers, patients, hospital staff, and practice administration to determine and execute appropriate fiscal solutions. The Navigator provides analytical and operational support for facility administration and financial activities, including drug recovery, billing, payment processes, and financial performance evaluation.

Responsibilities

• Conducts financial counseling for all infusion patients prior to initial treatment, including notification of financial obligations.
• Screens, enrolls, and obtains copay assistance and/or free drug 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; ensures accurate and timely submission of accounts for recovery.
• Monitors drug shipment status from approval through receipt at the hospital pharmacy.
• Develops and maintains interfaces with all components of the drug recovery and copay assistance process, including patients, key hospital departments, and drug manufacturers or foundations.
• Manages patient payment status and data, including insurance coverage, self-pay credits, and account write-offs to resolve issues and expedite corrections.
• Answers billing and insurance questions as needed and maintains the 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 workers, counselors).
• 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; distributes reports to departments as needed.
• Establishes and maintains relationships with community agencies and organizations to meet patient needs.
• Coordinates, educates, and trains physicians, clinical staff, and support staff on patient assistance programs and offers in-service training sessions.
• Complies with Information Security and Health Insurance Portability and Accountability Act (HIPAA) policies and procedures; protects and discloses patients’ protected health information (PHI) in accordance with HIPAA standards.

Requirements

• High School diploma or GED (required).
• Bachelor’s degree in Business or Healthcare Administration (preferred).
• 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 of 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 Programs (preferred).
• Completion of Association of Community Cancer Centers (ACCC) Financial Advocacy Boot Camp within 3 months of employment (required).
• Commissioned Notary (required within 6 months of employment).

Skills

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

Benefits

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

Benefits may vary based on the market and employment status.