Financial Navigator-Oncology

The Financial Navigator - Oncology works closely helping cancer patients navigating the complex financial aspects of their care by assisting them with insurance, understanding costs, and accessing financial assistance programs. This job is responsible for performing financial clearance functions, including but not limited to, verifying insurance eligibility and benefits; obtaining and ensuring authorizations on file are accurate; and providing price estimates and Good Faith Estimates and cost estimates to scheduled patients.

This position works closely with Revenue Cycle to ensure all patients are financially cleared and screened for financial risk. This includes securing pre-authorizations when necessary to facilitate timely appointments and support continuity of care within the health system.

• Associates or Bachelor’s degree in finance, business, healthcare administration or other related field required

• 2-3 years of work experience with insurance verification, revenue cycle functions, hospital/physician offices, or related areas required
• Oncology experience preferred
• Prior experience in Financial Counseling preferred

• Excellent verbal and written communication skills
• Comprehensive knowledge of insurance coverage, limitations, requirements, eligibility, pharmacy formulary, prior authorization, coordination of benefits, diagnosis codes, billing and collecting.
• Strong organizational skills and ability to prioritize tasks
• Strong interpersonal skills and ability to build rapport with a wide variety of individuals
• Knowledge of pharmaceutical payer policy and reimbursement processes
• Working knowledge of medical terminology
• Ability to identify and solve problems independently
• Excellent computer skills and the ability to adapt to various programs/systems

• While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear.
• The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms.
• The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl.
• Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus.
• The employee must occasionally lift and/or move up to 25 pounds.

• Normal office environment. The noise level in the work environment is usually quiet to moderate while in the office.
• Occasional travel to various health system locations.