Firelands Health · 5 months ago
Financial Navigator, Cancer Center: FT 8a-4:30p
Sandusky, Ohio, United States
Full-time
Onsite
Mid LevelFirelands Health is the area’s largest and most comprehensive resource for quality medical care, dedicated to providing excellent healthcare and promoting community wellness. The Financial Navigator will meet with new treatment patients to assess their access needs, monitor insurance coverage, and assist patients in overcoming financial barriers to ensure prompt diagnosis and treatment.
Health CareHealth DiagnosticsHospitalMedicalNon Profit
Responsibilities
Meets with new treatment patient and reviews any patient access needs and /or barriers to care prior to and throughout treatment
Monitors daily new patient encounters, verifying insurance coverage, obtaining benefits to determine eligibility, obtains initial and subsequent authorization and pre-certification, and documents accordingly. Assists the clinical team with tracking visits and obtaining re-certification from insurance companies
Verifies current insurance coverage, including out-of-pocket costs, deductibles, and/or coinsurance and provides cost of care estimates when needed. Assists patients in overcoming financial barriers within the health care system to ensure prompt diagnosis and treatment
Ensures maximum optimization of patient’s health benefits and coordination of service to facilitate medical necessity throughout the patient’s care continuum
Facilitates the involvement of community organizations that can help with access to services
Coordinates all payer co-pay on-line assistance programs and assists patients with applications. Works with financial counseling and charitable organizations to access financial assistance, co pay assistance, prescription assistance, and/or drug replacement as needed
Acts as the patient’s direct point of contact for all insurance and billing concerns
Tracks problem encounters and works closely with coding, patient accounting on denials and medical necessity issues to assist in resolution and process improvement
Assists with coordinating transportation and completed mileage forms for patients as needed. Assesses and completed advanced care planning for cancer patients
Meets with cancer patients who are experiencing psychosocial distress as indicated by RN assessment or completion of a distress screening. Provides emotional support to patients and assists with outgoing referrals as needed
Monitors and reports outcome measurements
Tracks grants and alternative funding
Assists with chemotherapy and radiation authorizations as needed for coverage in other areas of the infusion center and cancer center
Conducts ongoing outreach to health disparity communities
Qualification
Required
Must complete the Association of Community Cancer Center Financial Bootcamp within one year of hire and the Advanced Care Planning Course for cancer center navigators
Experience with pre-authorization and working with insurance companies preferred
Knowledge of Medicare/CMS terminology and coverage is beneficial
Must have the skills to verify commercial insurance/Medicare and the ability to obtain benefits to determine eligibility
Requires problem solving, decision making, critical thinking, focus, excellent leadership skills, organizational skills, verbal, and written communication skills, and interpersonal skills
Demonstrates the ability to be self-directed, and to work with and lead teams
Flexibility in scheduling
Benefits
Tuition reimbursement
Loan forgiveness
Comprehensive major medical
Dental and vision insurance
Paid time off
401(k)
Health and wellness offerings
Monthly employee events
Company
Firelands Health
Firelands Health includes a 287-bed not-for-profit medical center, behavioral health services, rehabilitation, Firelands Physician Group and more.
Founded in 1876
1001-5000 employees
H1B Sponsorship
Firelands Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (2)
2023 (1)
2022 (1)
2021 (1)
2020 (1)
Funding
Current Stage
Late StageLeadership Team
Jeremy Normington-Slay
President and CEO Firelands Regional Health System
Kevin Riley, CPA, MBA, FHFMA
Chief Financial Officer
Company data provided by crunchbase