Financial Navigator jobs in United States
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Cleveland Clinic · 2 weeks ago

Financial Navigator

Cleveland Clinic is a renowned healthcare organization known for its advanced research and patient care. As a Financial Navigator at the Taussig Cancer Institute, you will assist patients in understanding their financial responsibilities and coordinate resources to help manage their out-of-pocket expenses during their cancer treatment.

Health CareHospitalMedicalNon Profit
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H1B Sponsor Likelynote

Responsibilities

Meet with patients to review financial responsibility and develop a plan to coordinate resources to supplement patients' out-of-pocket expenses
Promote an integrated/coordinated approach to managing the continuum of care and financial obligations for the patient and their family members that come to the Institute
Serve as a liaison to patients with internal and external resources for co-pay assistance, drug replacement and other financial assistance as well as psychosocial assistance
Develop standard operating procedures to guide and build a program that effectively supports the care and financial responsibility of patients
Implement new processes to guide patients to the appropriate resources and support services
Educate patients on availability of Patient Assistance Programs
Identify, evaluate and resolve cancer patient complaints
Assess eligibility and assist self-paid and under-insured patients with Patient Assistance Programs (PAP) for free drug, replacement drug and copay assistance
Coordinate with clinical team and social workers in identifying eligible patients as well as obtaining information and documentation for eligible patients
Interview potential patients for assistance and collect all financial forms related to eligible PAP applications and maintain a database
Monitor and track status of application and communicate with pharmacy, physician and clinical team
Clarify patient medications and dosages and generate applications for PAP renewals
Forward adjustment requests to Revenue Cycle Management for assisted patients when applicable
Educate staff and Administration to assist in understanding of processes and procedures surrounding PAP's and encourage patient referrals
Track and monitor data analytics and databases related to all new patients being treated at Taussig Cancer Center, main campus and region and their contractual arrangements for cancer services and out of pocket responsibilities
Capture data queries that will drive decisions and process improvement for treatment delivery as well as collaboration with payers
Obtain authorizations for research and non-FDA approved procedures and treatments; submit letter of medical necessity and follow-up for approvals on procedures

Qualification

Insurance knowledgeFinancial planningData analyticsMicrosoft OfficeProblem solvingAnalytical skillsCommunication skillsAttention to detailCritical thinking

Required

Associate's degree in finance, business or other related field and three years of related experience in a health care environment or medical office setting with diverse, patient/culture populations, exhibiting problem solving skills
Additional progressively responsible experience may offset degree requirement
Attention to detail and accuracy
Computer experience with Microsoft Office and ability to navigate multiple systems simultaneously
Knowledge of insurance coverage, limitations, requirements, eligibility, pharmacy formulary, prior authorization, coordination of benefits, diagnosis codes, billing and collecting
Strong communication, analytical and critical thinking skills

Benefits

Healthcare
Dental and vision benefits
Retirement savings account contributions

Company

Cleveland Clinic

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Cleveland Clinic is a non-profit medical center that combines clinical and hospital care with research and education. It is a sub-organization of Ashtabula Regional Medical Center.

H1B Sponsorship

Cleveland Clinic 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
2025 (89)
2024 (78)
2023 (100)
2022 (60)
2021 (71)
2020 (46)

Funding

Current Stage
Late Stage
Total Funding
$362.54M
Key Investors
National Institutes of HealthNational Cancer InstituteAgency for Healthcare Research and Quality
2023-02-21Grant· $3.14M
2022-09-22Grant· $7.9M
2022-06-30Grant· $14.2M

Leadership Team

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Delos Cosgrove
CEO & President
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Tomislav Mihaljevic
President & Chief Executive Officer, Cleveland Clinic
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Company data provided by crunchbase