Patient Financial Navigator Senior

At St. Luke's, we pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being. Our commitment to excellence in patient care extends to creating an environment where our team can thrive both personally and professionally. With opportunities for growth, competitive benefits, and a supportive community of colleagues, St. Luke's is truly a great place to work.

What You Can Expect:

The Patient Financial Navigator Senior works closely with patients to screen and connect them to financial resources. This role is responsible for making decisions based on internal & external program policies, utilizing confidential financial & health information from both the facility & patients to assess eligibility for government programs, pharmaceutical assistance, & financial programs. Work closely with patients, providers, case managers, social workers, pharmacy, nurses, and clinics to facilitate access to external financial resources available to pay for healthcare, treatments & medications Interact directly with patients by providing financial resource support in hospital settings, oncology clinics, outpatient clinics, infusion centers, & financial business offices. Create and provide complex estimates for procedures and services. Explain financial responsibilities and available resources to patients. Coordinate insurance and appeals by clarifying coverage and resolving discrepancies. May also assist patients with appeals for denied claims when necessary. Manage escalated patient financial concerns & provide financial resolution strategies Assist Patients & Families with Pharmaceutical Programs to ensure compliance with manufacturer enrollment for co-pay assistance, patient enrollment and other assistance programs. Actively participates in public presentations, case review meetings, interdisciplinary committees, and task forces. Performs advanced and/or complex duties requiring independent decisions and extensive, diversified professional experience and knowledge. Serves as a role model, mentor, trainer and/or resource to coworkers. Maintains and improves quality results by adhering to standards and guidelines; recommends improved procedures. Other duties and responsibilities as assigned.

Qualifications:

Education:

High school diploma or equivalent

Experience:

2 years relevant experience