Oncology Financial Navigator
About The Position
The role of the Oncology Financial Navigator is to improve and maximize the revenue capture at SCC/VHH by educating and enrolling oncology patients into Third Party Assistance programs that reduce patients’ out-of-pocket expenses while maximizing savings for VHH’s charity program and reducing the number of patients that fall into collections. The Financial Navigator will assist all SCC patients in navigating available financial resources to help pay for their prescribed therapy and avoid any associated financial toxicity due to their cost of care. The Navigator will research and enroll eligible patients into financial assistance programs from all available internal and external resources, including but not limited to: the VHH Financial Assistance Program, copay assistance programs for IV and oral drugs, drug replacement programs, grants from national oncology foundations, as well as local and community.
Requirements
- 3 years of experience in a healthcare setting required.
- Bachelor’s Degree in healthcare or related field.
Nice To Haves
- Previous oncology-specific financial navigation or financial counseling experience preferred.
- Experience working in an oncology setting preferred.
Responsibilities
- Meet with new patients and their caregivers to provide patient-specific education on their insurance benefits and estimated out-of-pocket expenses for their prescribed therapy prior to treatment initiation.
- Help patients complete applications for financial assistance, pharmaceutical assistance, and government programs in a timely and HIPAA compliant manner.
- Work closely with the Oncology Social Worker on cross over patients and make referrals as necessary.
- Track all TPA funding received and report the information to the VP Oncology on a bi-monthly basis.
- Report trending and forecasting on special projects as requested by VP Oncology.
- Maintain extensive database for Third Party Assistance (TPA) Programs for oncology patient financial assistance and continuously monitor for changes and/or updates regarding each TPA’s available funding and
- Obtain all required insurance prior authorizations for oral chemo and therapeutic medications prescribed by SCC provider’s; liaise with specialty and local pharmacies as well as pharmaceutical companies to coordinate medication delivery and provide continuous status updates to patients regarding their prescription drugs.
- Serve as the oncology point of contact for all patient billing questions and concerns; work directly with the Patient Financial Services (PFS) staff to resolve all SCC patient billing matters.
- Submit patient claims and applications for financial assistance in a timely and HIPAA compliant manner.
- Post all monies received to the financial system and provide updates to patients as funding is received on their behalf.
- Liaise with pharmaceutical company representatives for both IV and oral therapies to learn about their products, co-pay programs and potential foundation assistance.
- Act as the first line of contact for pharmaceutical reps and communicate applicable changes/updates to the clinical team as appropriate.
- Serve as an integral member of the SCC front office team who provides coverage and assistance as needed.
- Regularly attend weekly Chartrounds meetings with clinical staff and communicate all pertinent patient information regarding new treatment starts, treatment plan changes, and any urgent patient needs to the appropriate front office staff.
- Role models the principles of a Just Culture and Organizational Values.
- Must be HIPAA compliant
Benefits
- Competitive wages
- Parental leave (4 weeks paid)
- Housing programs
- Childcare reimbursement
- Medical
- Dental
- Vision
- Tuition Assistance
- Existing Student Loan Repayment
- Specialty Certification Reimbursement
- Annual Supplemental Educational Funds
- Up to five weeks in your first year of employment and continues to grow each year.
- 403(b) Retirement plan with immediate matching
- Life insurance
- Short and long-term disability
- Up to $1,000 annual wellbeing reimbursement
- Recreation discounts
- Pet insurance
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
