Financial Navigator

Cleveland Clinic

1d•Onsite

About The Position

Join Cleveland Clinic’s Main Campus where research and surgery are advanced, technology is leading-edge, patient care is world class and caregivers are family. Here, you will work alongside a passionate and dedicated team, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. Cleveland Clinic’s Taussig Cancer Institute, part of the Cleveland Clinic Cancer Center, is home to more than 250 oncology and palliative care professionals who deliver advanced cancer treatment to thousands of patients each year. Renowned nationally and internationally for its expertise, the center offers comprehensive services including clinical trials, cutting-edge research, and a wide range of support programs to help patients navigate their cancer journey. As a Financial Navigator, you will meet with patients to review their financial responsibilities and develop plans that coordinate resources to help manage out-of-pocket expenses. You will use your knowledge and skills each day to provide exceptional support to patients and their families. This position plays a vital role in helping patients navigate the financial aspects of their treatment during an especially challenging time. A caregiver in this role works days from 8:00 a.m. – 4:30 p.m. or 7:30 a.m. – 4:00 p.m.

Requirements

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
Follows Standard Precautions using personal protective equipment as required.

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.