Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will work alongside dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world.Financial Navigators meet with patients to review financial responsibility and develop a plan to coordinate resources to supplement patients' out-of-pocket expenses. As a Financial Navigator, you will serve as a liaison to patients with internal and external resources for co-pay assistance, drug replacement, financial assistance and psychosocial assistance. This position promotes an integrated/coordinated approach to managing the continuum of care and financial obligations for the patients and their family members.The ideal future caregiver is someone who:
Pays close attention to details.
Has excellent interpersonal, critical thinking and problem resolution skills.
Effectively navigates multiple systems simultaneously.
Demonstrates a strong work ethic.
At Cleveland Clinic, we know what matters most. That's why we treat our caregivers as if they are our own family, and we are always creating ways to be there for you. Here, you'll find that we offer: resources to learn and grow, a fulfilling career for everyone, and comprehensive benefits that invest in your health, your physical and mental well-being and your future. When you join Cleveland Clinic, you'll be part of a supportive caregiver family that will be united in shared values and purpose to fulfill our promise of being the best place to receive care and the best place to work in healthcare.Responsibilities:
Develops standard operating procedures to guide and build a program that effectively supports the care and financial responsibility of patients.
Implements new processes to guide patients to the appropriate resources and support services.
Meets new patients to the Institute, promoting available programs and services.
Educates patients on availability of Patient Assistance Programs.
Identifies, evaluates, and resolves cancer patient complaints.
Assesses eligibility and assists self-pay and under insured patients with Patient Assistance Programs (PAP) for free drug, replacement drug and copay assistance.
Coordinates with clinical team and social workers in identifying eligible patients as well as obtaining information and documentation for eligible patients.
Interviews potential patients for assistance and collects all financial forms related to eligible PAP application and maintains data base.
Monitors and tracks status of application and communicates with pharmacy, physician and clinical team.
Clarifies patient medications and dosages and generates applications for PAP renewals.
Forwards adjustment requests to Revenue Cycle Management for assisted patients when applicable.
Educates staff and Administration to assist in understanding of processes and procedures surrounding PAP's and encourage patient referrals.
Tracks and monitors data analytics and database related to all new patients being treated at Taussig cancer Center, main campus and region , and their contractual arrangements for cancer services and out of pocket responsibilities.
Captures data queries that will drive decisions and process improvement for treatment delivery as well as collaboration with payers.
Obtains authorizations for research and non-FDA approved procedures and treatments; submits letter of Medical necessity and follow-up for approvals on procedures.
Other duties as assigned.
Education:
Associate's degree in Finance, Business or other related field.
Bachelor's degree preferred.
Additional progressively responsible experience may offset degree requirement.
Certifications:
None required.
Complexity of Work:
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
Must be able to take appropriate action in a stressful environment.
Work Experience:
Minimum three years of related experience in a health care environment or medical office setting with diverse, patient/culture populations, exhibiting problem solving skills.
Attentions to detail and accuracy.
Excellent interpersonal skills, process improvement and problem resolution.
Computer experience and ability to navigate multiple systems simultaneously.
Knowledge of insurance coverage, limitations, requirements, eligibility, pharmacy formulary, prior authorization, coordination of benefits, diagnosis codes, billing and collecting.
Requires strong communication, analytical and critical thinking skills.
Ability to work with supervision.
Personal Protective Equipment:
Follows Standard Precautions using personal protective equipment as required.
Salaries [which may be] shown on independent job search websites reflect various market averages and do not represent information obtained directly from The Cleveland Clinic. Because we value each individual candidate, we invite and encourage each candidate to discuss salary/hourly specifics during the application and hiring process.Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities