Clinical Financial Navigator

Trinity Health • Grand Rapids, MI

1d

About The Position

The Clinical Financial Navigator serves oncology and outpatient infusion patients by combining advanced clinical expertise with knowledge of health insurance, reimbursement, and financial assistance programs. The role reduces financial barriers to care by identifying insurance optimization opportunities, coordinating access to assistance programs, and proactively addressing financial toxicity concerns. Using knowledge of disease states, treatment plans, and therapeutic goals, the navigator partners with patients, providers, and multidisciplinary team members to support timely treatment access while minimizing out-of-pocket expenses and maximizing reimbursement opportunities.

The position also serves as a subject matter expert for the Financial Navigation Team, supports revenue-cycle initiatives, and reports on financial outcomes to department and senior leadership. The role is based in Grand Rapids, Michigan, and is full-time on the day shift.

Requirements

• Master’s degree in a clinical healthcare field.
• Current and unrestricted professional licensure in Michigan related to the clinical discipline; examples include Registered Nurse (RN) and Licensed Master Social Worker (LMSW).
• At least seven years of combined experience in clinical healthcare practice and health insurance, reimbursement, financial counseling, financial navigation, revenue cycle, or related healthcare financial services.
• Extensive knowledge of oncology and infusion treatment processes.
• Strong understanding of health insurance plans, benefits, reimbursement, and payer requirements.
• Demonstrated expertise in insurance optimization and financial assistance resources.
• Understanding of patient financial toxicity and strategies to reduce barriers to care.
• Knowledge of revenue-cycle operations and reimbursement methodologies.
• Excellent analytical, problem-solving, and critical-thinking skills.
• Outstanding interpersonal, communication, and customer service skills.
• Ability to educate patients, families, and interdisciplinary team members effectively.
• Strong organizational skills and ability to manage multiple complex cases simultaneously.
• Proficiency with electronic medical records and healthcare financial systems.
• Ability to present financial and operational data to leadership audiences.

Nice To Haves

• Oncology experience is strongly preferred.
• Experience in a cancer center, infusion center, or specialty care setting.
• Certification or advanced training in financial navigation, revenue cycle, reimbursement, or oncology services.
• Experience reporting outcomes and presenting data to executive leadership.

Responsibilities

• Assess oncology and outpatient infusion patients’ financial needs, including insurance coverage, diagnosis, treatment plans, and anticipated care needs.
• Use clinical knowledge of disease processes and treatment regimens to identify suitable insurance coverage and financial assistance opportunities.
• Analyze and optimize insurance benefits to reduce patient financial burdens and support treatment affordability.
• Educate patients about insurance optimization strategies, coverage options, and financial resources.
• Identify qualifying patients and connect them with external assistance programs, copay assistance, grants, and other financial support services.
• Anticipate and address potential financial toxicity concerns before they negatively affect care or treatment adherence.
• Collaborate with physicians, nurse navigators, social workers, financial navigators, revenue-cycle teams, and other interdisciplinary team members.
• Provide guidance and support to the Financial Navigation Team on complex insurance and financial assistance cases.
• Maintain current knowledge of insurance regulations, reimbursement methodologies, patient assistance programs, and oncology-related financial resources.
• Apply knowledge of the healthcare revenue cycle and support initiatives to improve reimbursement and patient access.
• Collect, analyze, and report quarterly metrics on patient savings, reimbursement recovery, and financial outcomes generated through the role.
• Serve as an active member of the Cancer Service Line Revenue Cycle Committee.
• Present financial outcome data, trends, and recommendations to department and senior leadership.
• Participate in continuing education and professional development activities.
• Maintain accurate and timely documentation in accordance with organizational policies and regulatory requirements.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior