Clinical Review Team Navigator

Henry Ford Health•Detroit, MI

23h

About The Position

The Clinical Review Team Navigator works in Henry Ford Health’s Patient Billing and Financial Care Assistance (PBFCA) department, which helps patients address financial barriers and connect with available assistance programs. The role assists the Clinical Review Team in screening patient care requests for medical necessity and urgency, addresses patients’ financial responsibilities before services are rendered, and helps determine continuing care needs in collaboration with physicians and staff. The navigator supports uninsured, underinsured, and insured patients and handles sensitive information with confidentiality, respect, and empathy.

Requirements

High school diploma or GED equivalent.
Two years of experience working as a patient navigator, patient advocate, financial navigator, or insurance verification specialist.
Working knowledge of Microsoft Office Suite.
Technical proficiency in EPIC applications, including Appointment Scheduling (all versions), Registrations, Work Queues, and Referrals.
Ability to speak clearly and effectively.
Customer service orientation and ability to handle sensitive information or issues confidentially, respectfully, assertively, and empathetically.

Nice To Haves

Associate’s degree or two years of college coursework in business, community health, social work, case management, or a related field.
Knowledge of medical terminology.

Responsibilities

Assist in screening patient care requests for medical necessity and urgency.
Ensure current and prior financial balances and other financial responsibilities are addressed before services are rendered.
Advise patients on available financial assistance programs.
Collaborate with physicians and Henry Ford Health staff to determine continuing care needs.
Handle sensitive information with confidentiality, respect, and empathy in difficult interpersonal situations.