Patient Financial Navigator (Full-time; Days) - LCMC Health Corporate (Touro)
About The Position
The Patient Financial Navigator reviews and verifies insurance coverage and benefits for oncology services, explains patient cost-sharing and non-covered services, and helps identify insurance optimization and financial assistance opportunities. The role collaborates with case management, social work, and outsourced support to assist underinsured or uninsured patients. The position generates and communicates cost estimates for physician-ordered oncology treatments and services, including chemotherapy, radiation, imaging, and surgery. It applies for, claims, and tracks patient assistance programs; helps patients understand bills and resolve discrepancies; collects upfront payments as appropriate; and establishes flexible payment plans tailored to patients’ needs and financial capacity. The position does not formally supervise employees.
Requirements
- Minimum of 3 years of experience in healthcare financial counseling, patient access, or medical billing.
- Knowledge of insurance benefits and plans, medical terminology, and healthcare billing practices.
- High school diploma or GED.
- Strong understanding of insurance processes and medical terminology.
- Understanding of ICD-10 and CPT coding.
- Detail-oriented with strong organizational abilities.
- Proficiency using electronic health records and other healthcare software.
- Excellent communication and interpersonal skills.
Nice To Haves
- Associate degree in a healthcare-related field.
- Bilingual in Spanish or another language.
- Certification as a Certified Revenue Cycle Representative (CRC) or Certified Financial Counselor (CFC).
Responsibilities
- Review and verify patient insurance coverage and benefits for oncology services.
- Explain co-pays, deductibles, coinsurance, and non-covered services clearly and compassionately.
- Identify insurance optimization opportunities, including secondary coverage, medical eligibility, and financial assistance programs.
- Collaborate with case management, social work teams, and outsourced support to assist underinsured or uninsured patients.
- Generate and communicate cost estimates for physician-ordered oncology treatment, including chemotherapy, radiation, imaging, and surgical procedures.
- Apply for, claim, and track patient assistance programs.
- Help patients understand their bills and resolve discrepancies.
- Collect upfront payments as necessary under financial policies.
- Offer and set up flexible payment plans suited to patient needs and financial capacity.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
