Financial Navigator - Cancer Center

Stony Brook University•Town of Brookhaven, NY

4d•$54,344 - $66,244•Onsite

About The Position

The Financial Navigator for the Cancer Center has a critical role in providing solutions to patients in treatment relative to any financial burden related to their care. The Financial Navigator identifies barriers to their ongoing cancer care and provides financial counseling, working closely with Cancer Center leadership, physicians and other internal and external key stakeholders across the revenue cycle in Patient Access, Authorizations, Patient Accounts, as well as Patient Assistance programs, Pharma Drug Replacement programs, and other financial resources to assist Cancer Center patients and ensure maximum benefit both to patients in need and to the organization. The Financial Navigator will ensure that all treatment patients are individually reviewed and assessed prior to initiation of treatment relative to financial toxicity. The Financial Navigator will evaluate opportunities for coverage or drug replacement, provide guidance on insurance and work with Patient Accounts to discuss any patient financial responsibilities, payment plans, fee scales, etc.

Requirements

Bachelor's Degree plus 2 years’ experience in financial entitlements, case management/human services advocacy or, in lieu of Bachelor’s degree candidate can possess an Associate's degree and 4 years’ experience in financial entitlements, case management/human services advocacy
Proficient with PCs and Microsoft Office applications
Experience with direct patient interaction
Excellent written and communication skills
Exemplary customer service orientation, positive attitude and demeanor
Strong organizational and time management skills. Ability to work independently

Nice To Haves

Healthcare or insurance industry experience
Experience with Medicare, Social Security and Medicaid systems
Medicaid certified
Bilingual in English/Spanish

Responsibilities

Meets with all new patients to review insurance, verification coverage and explore insurance options for insured, under-insured and uninsured.
Educates on the availability of alternative insurance options (i.e. Medicare, Medicaid, Medicare Supplement, COBRA) and facilitates access to these programs.
Discusses the Medicare application with eligible patients and assists with the application process.
Discusses situation and options if employment status changes or other situations change.
Collects necessary documents to complete initial and annual financial aid application.
Discusses insurance options when insurance contracts are terminated.
Completes monthly audit exam to stay current on internal policies.
May present on insurance and financial assistance options to patients as necessary.
Assists with applying for financial grants, prescription assistance programs and drug replacements.
Helps under-insured or uninsured cancer patients enroll in coverage.
Obtains documentation for proof of income.
Educates patients regarding benefits.
Conducts medical necessity verification and obtains signed Advanced Beneficiary Notice or Statement of Financial Responsibility for non-covered services.
Works with various stakeholders within the Cancer Center leadership as well as Patient Finance departments to develop with patients to explain cost of treatment, insurance coverage and financial responsibility.
Coordinates proper insurance verification information/documentation of patient's insurance, to be used to estimate the patient's financial responsibility.
Enters and enrolls patients in pharmaceutical patient assistance programs including copay card eligibility and activation.
Tracks all activities on behalf of patients.
Contacts foundations to access patient support programs.
Identifies patients appropriate for copay cards - Completes and processes applications.
Reviews all payment/financial options (financial hardship, Medicaid applications, Access DuPage, payment plans, etc.)
Reviews non-covered services and documents/escalates.
Other duties as assigned