Oncology Financial Navigator Specialist

4 weeks ago


Reston, Virginia, United States Inova Health System Full time

Job Summary

The Oncology Financial Navigator plays a vital role in ensuring patients receive maximum reimbursement for their services. This position requires a unique blend of financial acumen, empathy, and communication skills to navigate the complexities of cancer care.

Key Responsibilities

  • Provides financial counseling to patients and their families, ensuring they understand their financial obligations and available resources.
  • Collaborates with Patient Financial Services to submit claims and allocate payments to the appropriate accounts.
  • Partners with healthcare teams to educate patients on financial assistance programs, copay assistance applications, and medication recovery programs.
  • Efficiently applies for funds and grants to cover out-of-pocket costs for cancer treatments, medications, and other healthcare-related expenses.
  • Serves as a patient advocate, liaison, and educator, assisting patients in understanding the cost of care and navigating the continuum of care.
  • Completes pre-determination processes for off-label medications and follows National Comprehensive Cancer Network guidelines.
  • Expertly verifies insurance eligibility, medical necessity, and attainment of drug authorizations for all medications ordered and administered in the Oncology program.
  • Assists in-house financial services teams with admission authorizations for Chemo or Oncology-related visits.
  • Performs other duties as assigned.

Requirements

Four years of experience in healthcare or public health settings, with a combination of patient finance, insurance benefits, financial assistance programs, public health, social services, or other community-based backgrounds. High school or GED education required.



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