Financial Navigator

Cleveland Clinic is seeking a skilled Financial Navigator to join our team. As a Financial Navigator, you will play a critical role in ensuring that patients receive exceptional financial care and support.

• Meet with patients to review financial responsibility and develop plans to coordinate resources to supplement out-of-pocket expenses.
• 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.

• 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.

• Bachelor's degree.

Cleveland Clinic is a world-renowned healthcare organization dedicated to providing exceptional patient care and advancing medical research. We are committed to creating a diverse and inclusive work environment that values and respects the contributions of all employees.

As a Financial Navigator, you will have the opportunity to work with a talented team of healthcare professionals who are passionate about delivering high-quality patient care. You will be responsible for ensuring that patients receive exceptional financial care and support, and you will have the opportunity to make a meaningful impact on the lives of our patients and their families.

We offer a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are a motivated and compassionate individual who is passionate about delivering exceptional patient care, we encourage you to apply for this exciting opportunity.