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Job description
Reports to Title: Patient Assistance Program Manager
n# of Direct Reports : 0
nPrimary Function/General Purpose of Position
nThe Financial Navigator is responsible for comprehensive patient financial management. The Navigator conducts patient financial navigation and patient fiscal need assessments. They will work closely with providers, patients, hospital staff, and practice administration to determine and execute the most appropriate fiscal solutions. The Navigator will provide analytical and operational support for facility administration and financial related activities including drug recovery within facilities, billing and payment processes, and analysis and evaluation of financial performance.
nEssential Job Functions
nnnConducts financial counseling for all infusion patients prior to initial treatment which includes notification of financial obligations.
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nnConducts screening, enrolling, and obtaining copay assistance and/or free drug for patients through Patient Assistance Programs (PAP).
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nnManages drug procurement for indigent and underinsured populations and all aspects of drug recovery programs within local facilities; ensures all accounts are submitted for recovery accurately and in a timely manner.
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nnMonitors drug shipment status from approval through receipt of drug at the hospital pharmacy.
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nnDevelops and maintains a close interface with all components of the drug recovery and copay assistance process including patients, key hospital departments, and drug manufacturers and/or foundations.
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nnManages patient payment status and data including insurance coverage, self-pay credits and account write offs to resolve problems determining the cause and expediting correction or adjustment.
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nnAnswers billing and insurance questions as needed.
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nnMaintains patient assistance database.
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nnCoordinates procuring free drugs for accounts with medical necessity denials.
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nnSubmits referrals to support services (e.g. Medicaid screening, Bon Secours Mercy Health Charity financial assistance, social worker, marriage and family counselor, etc.)
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nnPrepares evaluations of hospital, facility, or pharmacy related concerns and proposals to quantify financial implications.
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nnCompiles and analyzes internal data for inpatient and outpatient services.
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nnResponsible for distributing various reports to departments as needed.
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nnEstablishes and maintains relationships with other agencies and organizations in community to meet patient needs.
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nnCoordinates, educates, and trains physicians, clinical staff, and support staff on patient assistance programs (e.g. free drug procurement, copay assistance) and offers in-service training sessions to enhance quality and patient satisfaction.
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nnUnderstands and complies with Information Security and Health Insurance Portability and Accountability Act (HIPPA) policies and procedures at all times; uses, protects, and discloses patients’ protected health information (PHI) only in accordance with HIPPA standards.
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n nThis document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation.
nLicensing/Certification
nCommissioned Notary (required within 6 months of employment)
nEducation
nHigh School/GED (required)
nBachelors, Business/Healthcare Administration (preferred)
nWork Experience
nMinimum of 2 years’ experience in a professional healthcare environment (required)
nMinimum of 2 years’ experience as a financial biller in a healthcare setting, social worker ,and/or Certified Pharmacy Technician (required)
n1 year experience with EPIC functionality (preferred)
n2 years’ experience in social work of specialized patient population (e.g. oncology, hepatology, neurology, etc.) (preferred)
nPrior experience with patient assistance (preferred)
nTraining
nCompletion of Association of Community Cancer Centers (ACCC) Financial Advocacy Boot Camp within 3 months of employment (required)
nSkills
nAbility to work independently with minimal supervision
nStrong computer skills
nKnowledge of various software programs (e.g. Microsoft products, Epic)
nAbility to build strong relationships within and outside of organization
nProficient math and accounting skills
nAbility to manage a variety of complex issues
nCritical thinking
nCommunication
nAttention to detail
nFinance/Financial Advice
nResults-Oriented
nAnalyzing
nCustomer Service
nEmpathy
nInterpersonal Skills
nAs a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being—personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.
nWhat we offer
nnnCompetitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
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nnMedical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts
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nnPaid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
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nnTuition assistance, professional development and continuing education support
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n nBenefits may vary based on the market and employment status.
nAll applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at
Worksite address
paducah, KY, 42001, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.