Lead Patient Financial Navigator Position Available In Hillsborough, Florida

Lead Patient Financial Navigator Cancer Center of South Florida

• 3.

7

Tampa, FL Job Details Full-time Estimated:

$39.2K

• $49.

6K a year 8 hours ago Benefits Health insurance Dental insurance 401(k) Flexible spending account Paid time off Employee assistance program Vision insurance 401(k) matching Life insurance Qualifications Medicare 5 years HIPAA Mid-level Microsoft Office High school diploma or

GED ICD-10

Health Science CPT coding EMR systems Computer skills Patient interaction Epic Oncology Associate’s degree Communication skills

Full Job Description About Us:

At Cancer Center of South Florida, we provide personalized patient care with state-of-the-art medical treatments. We have a devoted team of former Harvard Medical School faculty to provide South Florida patients access to cutting-edge clinical trials and therapies. We have two clinical locations in Palm Beach County and a team of medical, radiation, and surgical oncologists spanning across the state focusing on providing world-class care in an academic setting. Our team is committed to providing patients with the best care possible and are looking for a dynamic and highly organized Lead Patient Financial Navigator.

Job/Position Summary:

Under the supervision of the Pharmacy Services Manager, the Lead Patient Financial Navigator is responsible for proactively communicating and counseling patients regarding their treatments and any financial responsibilities they have. The Lead Patient Financial Navigator will assist patients to explore options to navigate through and simplify complex treatments costs. In addition, the Lead Pharmacy Services Navigator will oversee the financial assistance department’s daily functions. This position is in constant communication with patients, governmental and commercial payers, third party contractors, the Pharmacy Services Team, Revenue Cycle Team, Scheduling, PAS team, and clinical staff from time to time as necessary or required.

Essential Functions:

Runs A/R reports for foundations and co-pay cards. Reports out to management any inabilities to collect payments. Ensures that the claims are being billed out daily, utilizing EPIC and Atlas reports. Oversees medication refill requests (patient assistance) in a timely manner. Reports to management any issues with refill requests/late deliveries. Ensures that staff notifies TGH Pharmacy Billing and TGH Pharmacy Operations Coordinators of all replacement drugs received. Ensures that the team has obtained all retro co-pay card assistance and is added to patient’s chart. Oversees and reports completion of navigator worklist within Atlas platform in a timely manner. Works to maintain complete understanding of the Financial Policies of TGH Cancer Institute. Communicates terms of Financial Policies to patients for full comprehension of payment expectations. Has an expert level of knowledge regarding insurance benefits, coordination of benefits, insurance verification, benefits investigation and payer network participation and financial assistance. Provides friendly and courteous customer service to patients while educating and communicating payment expectations to patient and/or family members. Obtains estimated patient responsibility for all infusions and treatments performed in TGH cancer institute; communicates estimated responsibility to patients and collect estimated patient responsibility. Works collaboratively with Revenue Cycle, Pharmacy Services, and Front Desk departments to ensure there is a complete understanding related to patients’ financial plan. Coordinates with the Pharmacy Services department if financial assistance, free drug programs, or other programs are available to assist patients with payment who may be unable to pay. Ensures that the co-pay cards and grant information is entered into EPIC patient account. Meets with patients (virtually or in person) to inform them of their financial obligation prior to their treatment start date for any amount beyond the copay. Responds to calls and emails in a timely manner from the PAS team and other staff on patient responsibility and other billing/verification questions. Corresponds with and assists third party vendors involved with patient accounts. Communicates with the Pharmacy Services Team any anticipated issues with coverage that may impact the sequencing and timeliness of care and provision/approval of treatment. Performs functions of a patient financial navigator as needed based on team coverage and workloads.

Secondary Responsibilities:

Ensures appropriate signatures are obtained on all necessary financial assistance, free drugs, and copay assistance forms. Acts as a backup for Insurance Verification and confirming authorization on file prior to treatment start. Maintains confidentiality of all information; adheres to all HIPAA guidelines/regulations. Comes to work and works the regular schedule and shift for the position. Complies with all personnel, operating, and financial policies and procedures. Answers questions from patients, governmental entities, and insurance companies. Performs additional duties assigned from time to time.

Supervisory Responsibilities:

This job has no supervisory responsibilities.

Qualifications:

Education and/or Experience High school diploma or equivalent required. Associates degree in health sciences preferred. Minimum five years medical business office experience with insurance procedures and patient interaction necessary. Strong knowledge of diagnostic (ICD-10), procedural (CPT) coding and oncology terminology. Working knowledge of healthcare insurance, particularly Medicare and Commercial Insurances. Health and/or medical benefits verification skills including major medical and pharmacy benefits experience required. 2 to 3 years of medical Accounts Receivable and/or Patient financial assistance experience is preferred. Knowledge of Medicare B and D plans is preferred. Certificates, Licenses, Registrations None Computer Skills To perform this job successfully, an individual should have knowledge of Electronic Medical Record (EMR) and Practice Management (PM) software, Microsoft Office Applications, and the ability to operate basic Internet software. The individual should be able to operate a computer in order to accurately enter data into a database, search for information, send and receive email and attachments. Must use the internet to access schedules, research insurance information, etc. Work requires extensive work using a computer. Other Skills and Abilities Must be competent in; Time Management, Organization, Attention to Detail, Quality Focus, Professionalism, Productivity, Thoroughness, Coordination, Deadline-Oriented, Internal Communications, and Reporting Skills.

Must have:

Interpersonal skills to work with end users. Experience with HIPAA and other Healthcare standards a plus. Excellent oral and written communication skills

• Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Participates in meetings. Writes clearly and informatively; edits work for spelling and grammar; able to read and interpret written information. Teamwork
• Balances team and individual responsibilities; Exhibits objectivity and openness to others’ views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Supports everyone’s efforts to succeed. Ethics
• Treats people with respect; Keeps commitments; Works with integrity and ethically; Upholds organizational values. Organizational Support
• Follows policies and procedures; Completes administrative tasks correctly and on time; supports organization’s goals and values; Supports affirmative action and respects diversity. Judgment
• Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions. Planning/Organizing
• Prioritizes and plans work activities; Uses time efficiently. Professionalism
• Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments. Quality
• Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality. Quantity
• Meets productivity standards; Completes work in timely manner; Strives to increase productivity; Works quickly.

Language Skills Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization. Reasoning Ability Ability to apply common sense understanding to carry out simple one or two step instructions. Ability to deal with standardized situations with only occasional or no variables. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is regularly required to use hands to finger, handle, or feel and reach with hands and arms. The employee is frequently required to stand; walk; sit; climb or balance; stoop, kneel, crouch, or crawl and talk or hear. The employee must regularly lift and /or move up to 10 pounds, frequently lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, depth perception and ability to adjust focus. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

Environmental Exposure None Job Type:

Full-time Benefits:

401(k) 401(k) matching Dental insurance Employee assistance program Flexible spending account Health insurance Life insurance Paid time off Vision insurance

Schedule:

8 hour shift Day shift Holidays Monday to

Friday Work Location:

In person