Financial Navigator — Ambulatory Pharmacy — Ohio

Bon Secours Mercy Health

2d

About The Position

The Financial Navigator is responsible for comprehensive patient financial management. The Navigator conducts patient financial navigation and patient fiscal need assessments. They will work closely with providers, patients, hospital staff, and practice administration to determine and execute the most appropriate fiscal solutions. The Navigator will provide analytical and operational support for facility administration and financial related activities including drug recovery within facilities, billing and payment processes, and analysis and evaluation of financial performance.

Requirements

• Commissioned Notary (required within 6 months of employment)
• High School/GED (required)
• Minimum of 2 years’ experience in a professional healthcare environment (required)
• Minimum of 2 years’ experience as a financial biller in a healthcare setting, social worker ,and/or Certified Pharmacy Technician (required)
• Completion of Association of Community Cancer Centers (ACCC) Financial Advocacy Boot Camp within 3 months of employment (required)
• Ability to work independently with minimal supervision
• Strong computer skills
• Knowledge of various software programs (e.g. Microsoft products, Epic)
• Ability to build strong relationships within and outside of organization
• Proficient math and accounting skills
• Ability to manage a variety of complex issues
• Critical thinking
• Communication
• Attention to detail
• Finance/Financial Advice
• Results-Oriented
• Analyzing
• Customer Service
• Empathy
• Interpersonal Skills

Nice To Haves

• Bachelors, Business/Healthcare Administration (preferred)
• 1 year experience with EPIC functionality (preferred)
• 2 years’ experience in social work of specialized patient population (e.g. oncology, hepatology, neurology, etc.) (preferred)
• Prior experience with patient assistance (preferred)

Responsibilities

• Conducts financial counseling for all infusion patients prior to initial treatment which includes notification of financial obligations.
• Conducts screening, enrolling, and obtaining copay assistance and/or free drug for patients through Patient Assistance Programs (PAP).
• Manages drug procurement for indigent and underinsured populations and all aspects of drug recovery programs within local facilities; ensures all accounts are submitted for recovery accurately and in a timely manner.
• Monitors drug shipment status from approval through receipt of drug at the hospital pharmacy.
• Develops and maintains a close interface with all components of the drug recovery and copay assistance process including patients, key hospital departments, and drug manufacturers and/or foundations.
• Manages patient payment status and data including insurance coverage, self-pay credits and account write offs to resolve problems determining the cause and expediting correction or adjustment.
• Answers billing and insurance questions as needed.
• Maintains patient assistance database.
• Coordinates procuring free drugs for accounts with medical necessity denials.
• Submits referrals to support services (e.g. Medicaid screening, Bon Secours Mercy Health Charity financial assistance, social worker, marriage and family counselor, etc.)
• Prepares evaluations of hospital, facility, or pharmacy related concerns and proposals to quantify financial implications.
• Compiles and analyzes internal data for inpatient and outpatient services.
• Responsible for distributing various reports to departments as needed.
• Establishes and maintains relationships with other agencies and organizations in community to meet patient needs.
• Coordinates, educates, and trains physicians, clinical staff, and support staff on patient assistance programs (e.g. free drug procurement, copay assistance) and offers in-service training sessions to enhance quality and patient satisfaction.
• Understands and complies with Information Security and Health Insurance Portability and Accountability Act (HIPPA) policies and procedures at all times; uses, protects, and discloses patients’ protected health information (PHI) only in accordance with HIPPA standards.

Benefits

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts
• Paid time off, parental and FMLA leave, shot- and long-term disability, backup care for children and elders
• Tuition assistance, professional development and continuing education support

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED