At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence.
Remote opportunity supporting the Richmond, VA Market.
Full Time - Days
Summary
The 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.
Essential Job Functions
Conducts financial counseling for all infusion patients prior to initial treatment which includes notification of financial obligations.
Conducts screening, enrolling, and obtaining copay assistance and/or free drug for patients through Patient Assistance Programs (PAP).
Manages 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.
Monitors drug shipment status from approval through receipt of drug at the hospital pharmacy.
Develops 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.
Manages 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.
Answers billing and insurance questions as needed.
Maintains patient assistance database.
Coordinates procuring free drugs for accounts with medical necessity denials.
Submits referrals to support services (e.g. Medicaid screening, Bon Secours Mercy Health Charity financial assistance, social worker, marriage and family counselor, etc.)
Prepares evaluations of hospital, facility, or pharmacy related concerns and proposals to quantify financial implications.
Compiles and analyzes internal data for inpatient and outpatient services.
Responsible for distributing various reports to departments as needed.
Establishes and maintains relationships with other agencies and organizations in community to meet patient needs.
Coordinates, 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.
Understands 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.
This 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.
Licensing/Certification
Commissioned Notary (required within 6 months of employment)
Education
High School/GED (required)
Bachelors, Business/Healthcare Administration (preferred)
Work Experience
Minimum of 2 years' experience in a professional healthcare environment (required)
Minimum of 2 years' experience as a financial biller in a healthcare setting, social worker ,and/or Certified Pharmacy Technician (required)
1 year experience with EPIC functionality (preferred)
2 years' experience in social work of specialized patient population (e.g. oncology, hepatology, neurology, etc.) (preferred)
Prior experience with patient assistance (preferred)
Training
Completion of Association of Community Cancer Centers (ACCC) Financial Advocacy Boot Camp within 3 months of employment (required)
Skills
Ability to work independently with minimal supervision
Strong computer skills
Knowledge of various software programs (e.g. Microsoft products, Epic)
Ability to build strong relationships within and outside of organization
Proficient math and accounting skills
Ability to manage a variety of complex issues
Critical thinking
Communication
Attention to detail
Finance/Financial Advice
Results-Oriented
Analyzing
Customer Service
Empathy
Interpersonal Skills
Many of our opportunities reward* your hard work with:
Comprehensive, affordable medical, dental and vision plans
Prescription drug coverage
Flexible spending accounts
Life insurance w/AD&D
Employer contributions to retirement savings plan when eligible
Paid time off
Educational Assistance
And much more
*Benefits offerings vary according to employment status
All 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 Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com . 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 recruitment@mercy.com
