Financial Navigator, WCI at Emory Healthcare

Decatur, Georgia, United States -

Full Time

Start Date

Immediate

Expiry Date

09 Jan, 26

Salary

0.0

Posted On

11 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Financial Counseling, Customer Service, Communication, Conflict Resolution, Organization, Negotiation, Insurance Knowledge, Billing, Authorization, Pre-certifications, Advocacy, Confidentiality, Problem Solving, Collaboration, Patient Education, Financial Assistance

Industry

Hospitals and Health Care

Description

Overview Be inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, and leadership programs And more Oncology experience plus. Description RESPONSIBILITIES: This position will serve as a financial navigator to cancer patients, identifying financial needs based on insurance coverage and providing guidance to patients in acquiring sustainable coverage as they maneuver through the oncology service authorization and payment process. Optimize patient coverage: Provides self-pay quotes to patients for oncology services rendered to include, but not limited to inpatient, imaging, lab, etc. Works with patients to optimize access and qualification for available benefits/assistance. Interacts with Medicare, insurance companies, pharmaceutical companies and assistance programs as an advocate for the patient and the clinic to ensure eligibility of coverage. Communicates and collaborates with the treatment team and administrative staff in supporting and maintaining understanding of the financial implications of medical intervention on the patient and healthcare provider. Constantly seek and maintain knowledge of new/existing avenues of financial assistance and support for patients. Patient Education: Works routinely with patients to ensure understanding and to provide support, explain the financial implications of patient care and share available sources of assistance throughout their treatment such as possible co-pay and prescription assistance programs. Provides financial counseling, as needed, to address sensitive financial issues resulting from coverage. Admin: Performs job related services throughout the continuum of care; out-patient, in-patient with a focus on newly diagnosed patients. Partner with billing personnel according. Works with financial counselors to ensure external assistance is credited to patients accounts. Performs other duties and responsibilities as assigned. Knowledge, Skills, and Abilities: Maintains standards of professional practice, strict confidentiality, advocacy and ethics. Adheres to department and organizational policies and procedures. Supports the Mission, Vision and Values of Emory Healthcare and Winship Cancer Institute. Uses effective customer service/interpersonal skills and discretion at all times and in all forms of communication with patients and with clinic staff. Have a high level of initiative and ability to self-direct to solve financial problems of patients and work collaboratively with the treatment team. Exceptional communication, conflict resolution, organization, follow-up and negotiation skills required. Ability to work in a high volume caseload environment required. Ability to utilize software relevant to the job, including Microsoft Office Suite, medical records systems and medical billing systems. MINIMUM REQUIREMENTS: Associates Degree in Business or a related field and three (3) years of healthcare billing or financial counseling experience, including a strong knowledge of insurance benefits, collections, authorizations, and pre-certifications OR an equivalent combination of education and experience. Oncology experience preferred to include knowledge of community resources, cancer state aid and all Medicaid products. Additional Details Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law. Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.

Responsibilities

The Financial Navigator will assist cancer patients by identifying their financial needs based on insurance coverage and guiding them through the oncology service authorization and payment process. This role includes optimizing patient coverage, providing financial counseling, and collaborating with the treatment team to address financial implications of care.