Financial Navigator

LAKEWOOD HEALTH SYSTEM•Staples, MN

1d•$20 - $30•Onsite

About The Position

The Financial Navigation function works closely with clinical staff, patient financial services, and external payers to ensure every patient has timely access to the treatments they need by removing financial and insurance-related barriers. The mission for this position is to ensure every oncology patient has clear, timely financial guidance and uninterrupted access to care by proactively managing insurance, authorizations, and financial assistance resources.

Requirements

High school diploma or equivalent.
Minimum 5 years’ experience in a healthcare or related setting.
Knowledge of medical terminology, insurance processes, and prior authorization workflows.
Understanding of insurance benefits, financial assistance programs, and billing processes.
Strong communication and patient-centered customer service skills.
Excellent organization, accuracy, and time-management abilities.
Ability to navigate complex payer requirements and shifting priorities.

Nice To Haves

Strong customer service skills
Scheduling experience
Insurance/authorization knowledge
Ability to shift gears quickly between patient-facing work and behind-the-scenes financial work
Familiarity with Epic, and payer portals.

Responsibilities

Guide patients through insurance, billing, and financial assistance processes.
Verify insurance benefits and maintain accurate coverage information.
Manage all prior authorizations for infusion, oral chemotherapy, radiation, and VA services.
Track authorization expirations, renewals, appeals, and required documentation (including RFS forms).
Coordinate financial assistance programs (co-pay grants, free drug programs, patient assistance, living-expense support).
Monitor assistance balances and ensure timely delivery of medications.
Assist with mileage reimbursement, cost estimates, and MNSure applications.
Support PET scan services by validating payable codes and assisting with appeals.
Provide cross-coverage for oncology scheduling, prior authorization functions, pharmacy coordination, denials management, and insurance verification.
Maintain timely, accurate documentation in Epic and related systems.
Collaborate with clinical staff, financial services, and social services to support patient needs.
Respond to patient questions regarding coverage and billing with empathy and clarity.