Financial Navigator

Metro Vein Centers • West Bloomfield, MI

1d

About The Position

Reporting to the RCM Financial Clearance Manager, the Financial Navigator at Metro Vein Centers provides advanced patient financial navigation support and serves as a subject matter expert for complex inquiries and escalations. This role delivers comprehensive financial counseling, educating patients on their benefits, expected out-of-pocket costs, and available financial options to resolve their balances, including payment plans and financial assistance programs. The Financial Navigator is responsible for reviewing insurance eligibility, verifying network participation, calculating patient responsibility, and efficiently resolving billing-related questions. In addition, this role supports higher-level functions such as mentoring junior navigators, addressing escalated patient concerns, and contributing to workflow optimization and process improvement initiatives. Through proactive financial clearance and patient education, this position supports organizational goals of reducing avoidable denials, improving collections, and enhancing the overall patient experience.

Requirements

• 2-3 years of experience in Revenue Cycle Management
• Familiarity with EHR/RCM systems and payor portals.
• High School Diploma or equivalent (GED)

Nice To Haves

• Experience with Athena Practice
• Excel and dashboard/reporting experience preferred

Responsibilities

• Provide financial counseling to patients, including education on deductibles, copays, coinsurance, and available payment options.
• Calculate and communicate accurate out-of-pocket cost estimates before services are rendered.
• Identify services requiring prior authorization or referrals and coordinate with authorization and referral teams to ensure timely approval.
• Resolve complex billing and coverage inquiries, including escalated patient concerns
• Assist uninsured or underinsured patients with financial assistance programs, self-pay options, payment plans, care credit, etc.
• Document all financial discussions, benefit details, and patient interactions accurately in Athena.
• Mentor and support junior financial navigators or patient access staff as needed.
• Identify trends and contribute to process improvements to reduce front-end denials and revenue leakage.
• Collaborate with clinical, billing, and revenue cycle leadership to ensure financial clearance and a positive patient experience.
• Ensure compliance with HIPAA, payer guidelines, and applicable federal and state regulations while safeguarding patient information

Benefits

• Medical, Dental, and Vision Insurance
• 401(k) with Company Match
• Paid Time Off (PTO) + Paid Company Holidays
• Company-Paid Life Insurance
• Short-Term Disability Insurance
• Employee Assistance Program (EAP)
• Career Growth & Development Opportunities

What This Job Offers

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