Patient Financial Navigator

SUMMARY

The Financial Navigator is responsible for completing all insurance eligibility and verification processes to support individualized financial counseling for each patient regarding their financial responsibilities. Financial counseling meetings will be conducted with all patients within the initial weeks of treatment. These meetings will result in either payment in full of the patient’s outstanding balance or the establishment of a payment plan in accordance with company policy.

Performs the following duties personally and coordinates with team members to ensure successful completion of assigned tasks.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

Essential Duties:

• Meets with patients to explain cost of treatment, insurance coverage, and patient financial responsibility.
• Coordinates proper insurance verification information/documentation of patient’s insurance, to be used to estimate the patient’s financial responsibility.
• Responsible for collecting co-pays/deductibles from patients, assisting with establishing effective and timely payment plans.
• Courteously and professionally works with patients to outline financial obligations related to care, and provides options for patients to meet financial requirements, including assessing financial assistance eligibility, determining insurance coverage eligibility, establishing payment arrangements, collecting preservice payments and co-payments as needed.
• Responsible for monitoring and collecting the financial balances owed by our patients during their course of treatment.
• Reviews all payment / financial options (Financial hardships / Charity, Special arrangement options, Payments plans, etc.) to limit risk of non-payment.
• Assists patients with questions regarding billing and insurance payments.
• Assists patients with applying for local grants, foundations, and free drugs to offset the patient responsibility.
• Complete wrap up meetings with patients at the end of treatment to ensure patients adhere to payment obligations. 
• This position serves to educate patients regarding their insurance coverage and individual financial responsibility for cancer therapies. Further, the position will provide patients access to financial resources available to them as well as assistance with the process.
• Completely and accurately document conversations and communication with patients, payors, third party vendors, and any other representative in and outside of the organization.
• Payment postings.

This job description in no way states or implies 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.

SUPERVISORY RESPONSIBILITIES

This job has no supervisory responsibilities.

QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and EXPERIENCE

• Bilingual in Spanish required.
• Basic knowledge of medical insurance, eligibility, benefits, and patient financial responsibility.
• Strong customer service skills with the ability to communicate professionally and compassionately with patients.
• Comfortable discussing patient balances, financial responsibilities, and payment options with patients.
• Ability to explain insurance benefits and out-of-pocket costs in a clear and easy-to-understand manner.
• Medical office or healthcare experience preferred but not required.
• Basic knowledge of medical terminology and insurance terminology.
• Excellent oral and written communication skills.
• Detail-oriented with strong organizational and follow-through skills.
• Basic mathematical skills, including the ability to add, subtract, multiply, and divide using whole numbers, common fractions, and decimals.
• Ability to work independently with limited supervision and meet department productivity standards.
• Maintains a positive, professional, and respectful attitude.

Other Requirements:

• Travel as required to other centers