Thank you for considering a career at Bon Secours Mercy Health! This is a remote position. Primary Function/General Purpose of Position 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) Patient Population Adolescents (13-17 years) Adults (18-64 years). Geriatrics (65 years and older) Working Conditions Periods of high stress and fluctuating workloads may occur. General office environment. May have periods of constant interruptions. Required to car travel to off-site locations, occasionally in adverse weather conditions. Prolonged periods of working alone. 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 Bon Secours Mercy Health is an equal opportunity employer. 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 Scheduled Weekly Hours: 40 Work Shift: Days/Afternoons (United States of America) Department: SS Pharmacy & Lab - Ambulatory Pharmacy 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. For nearly 200 years, the historical founders of Bon Secours Mercy Health has been providing care to those in need. Today, the ministry is one of the top 20 health systems in the United States and part of the top performing quartile of Catholic health systems for lowest cost per case for patient care. This quality care is provided by more than 57,000 employees serving communities throughout Florida, Kentucky, Maryland, New York, Ohio, South Carolina and Virginia. The health care ministry provided care for patients more than 10.3 million times in 2017 through its network of more than 1,000 care sites. Consistent with its commitment to serve each patient with dignity, Bon Secours Mercy Health provides nearly $2 million per day in community benefit. The Mission of Bon Secours Mercy Health is to extend the compassionate ministry of Jesus by improving the health and well-being of its communities and bring good help to those in need, especially people who are poor, dying and underserved. For more information, visit www.bsmhealth.org.