About The Position

The Patient Financial Navigator reviews insurance coverage and benefits for oncology services, explains patient financial responsibilities, and helps identify insurance optimization and financial assistance opportunities. The role works with case management, social work teams, and outsourced support to assist underinsured or uninsured patients. It prepares cost estimates for physician-ordered oncology treatments, supports patient assistance programs, helps patients understand bills and resolve discrepancies, collects upfront payments when required, and arranges payment plans tailored to patients’ needs and financial capacity. This position is full-time and works day shifts. It does not formally supervise employees.

Requirements

  • At least 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 with electronic health records and other healthcare software.
  • Excellent communication and interpersonal skills.

Nice To Haves

  • Associate degree in a healthcare-related field.
  • Bilingual ability 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 opportunities for insurance optimization, including secondary coverage, medical eligibility, or financial assistance programs.
  • Collaborate with case management, social work teams, and outsourced support to help 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 tailored to patient needs and financial capacity.
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