Financial Navigator

Financial NavigatorEquipped with the latest technologies, Cleveland Clinic's Richard E. Jacobs Health Center brings world-class care close to home for the residents in and around Avon, Ohio. In addition to advanced specialty and primary care, this facility also includes an outpatient surgery center, an infusion suite for chemotherapy, a full-scale imaging center, two pools for aquatic therapy and more.Whether or not you serve in a clinical role, every member of the Cleveland Clinic team is a caregiver. In our Finance division, caregivers use their knowledge and skill every day to provide exceptional experiences for patients and their families. As a Financial Navigator, you will meet with patients to review financial responsibility and develop plans to coordinate resources to supplement out-of-pocket expenses. A caregiver in this position works8:00AM - 4:30PM. A caregiver who excels in this role will:Promote an integrated/coordinated approach to managing the continuum of care and financial obligations for the patient and their family members that come to the Institute. Serve as a liaison to patients with internal and external resources for co-pay assistance, drug replacement, and other financial assistance.Develop standard operating procedures to guide and build a program that effectively supports the care and financial responsibility of patients.Implement new processes to guide patients to the appropriate resources and support services.Meet new patients to the Institute, promoting available programs and services.Educate patients on availability of Patient Assistance Programs.Identify, evaluate, and resolve cancer patient complaints.Assess eligibility and assist self-pay and under-insured patients with Patient Assistance Programs (PAP) for free drug, replacement drug and copay assistance.Coordinate with clinical team and social workers in identifying eligible patients and obtaining information and documentation for terview potential patients for assistance, collect all financial forms related to eligible PAP applications and maintain the database.Monitor and track the status of applications and communicate with the pharmacy, physicians and clinical team.Clarify patient medications and dosages and generate applications for PAP renewals.Forward adjustment requests to Revenue Cycle Management for assisted patients when applicable.Educate caregivers and administration to help understand processes and procedures surrounding PAP's and encourage patient referrals.Track and monitor data analytics and databases related to all new patients being treated at Taussig Cancer Center, Main Campus and regional locations, and their contractual arrangements for cancer services and out of pocket responsibilities.Capture data queries that will drive decisions and process improvement for treatment delivery and collaboration with payers.Obtain authorizations for research and non-FDA approved procedures and treatments, submit letters of medical necessity and follow-up for approvals on procedures.Minimum qualifications for the ideal future caregiver include:Associate's degree in finance, business or a related field. Three years of related experience in a healthcare environment or office setting working with diverse patients and cultures. Additional progressively responsible experience may substitute the degree requirement. Knowledge of insurance coverage, limitations, requirements, eligibility, pharmacy formulary, prior authorization, coordination of benefits, diagnosis codes, billing and collecting. Computer experience. Preferred qualifications for the ideal future caregiver include:Bachelor's degree. Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most to you: 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.