Employment Type:

Full time

Shift:

Description:

Trinity Health System, one of the nation's top health care services providers, spanning five counties in Southeastern Michigan. Trinity Health Southeast MI represents more than 2,700 physicians and 14,000 nurses and staff, and includes 6 Hospitals, 5 Outpatient Health Centers, 8 Urgent Care Facilities and over 25 Specialty Centers.

We have an opportunity for a Patient Financial Navigator (Counselor) supporting our Oakland Oncology department. This is a full-time benefited position. We seek individuals who can be strong advocates for our outpatient oncology patients.

Candidates with Medical Billing, Insurance Verification, Medical Terminology, Experience with Approvals, Denials and strong EMR skills are encouraged to apply.  CHONC Certification is preferred but not required.

Trinity Health System is one of Michigan's most advanced cancer providers. We use cutting edge treatment technology, provide the latest clinical research trials, offer classes, events and support groups as well as other cancer support services, and our multidisciplinary team approach provides the highest quality patient outcomes which shows in our accreditations and recognitions.

Learn more at: Cancer Care | Trinity Health Michigan

POSITION PURPOSE

Under limited supervision, assesses financial needs of new and established oncology patients based on specified treatment protocols. Determines liability on patient accounts, works with patients or their representatives to provide financial assistance, and facilitates processing of Medicaid and other financial assistance applications.  Provides patient and health care team education and links to resources. Also responsible for data collection, initiating eligibility determination for the Health System’s charity care fund, and resolution of accounts receivables.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

• Maintains good rapport and cooperative relationships.  Approaches conflict in a constructive manner.  Helps to identify problems, offer solutions, and participate in their resolution.
• Maintains the confidentiality of information acquired pertaining to patient, physicians, employees, and visitors to Saint Joseph Mercy Health System.  Discusses patient and hospital information only among appropriate personnel in appropriately private places.
• Assumes responsibility for performance of job duties in the safest possible manner, to assure personal safety and that of coworkers, and to report all preventable hazards and unsafe practices immediately to management.
• Behaves in accordance with the Mission, Vision and Values of Saint Joseph Mercy Health System.
• Provides initial insurance verification/patient registration for upcoming appointments.  Verifies and updates patient demographic information on registration and billing systems.
• Communicates with providers, insurance companies and/or caseworkers, to obtain global referrals for office visits.
• Counsels patients/families prior to treatment, as well as throughout treatment, on the cost of treatment, insurance benefits, resources for payment and financial assistance prior to treatment.  Secures and documents payment arrangements.
• Discusses local, state and federal assistance programs, as well as charity programs in detail with patients in need, acting as an advocate and educator for them.  Follows up with patients in a timely manner.
• Assists patients in developing a financial plan and assesses for financial disparities, as well as completing applications for financial assistance (i.e., Medicaid/Medicaid Disability, County Health Plans, McAuley Support, etc.).
• Confirms/Audits treatment plan is coded appropriately in billing system.
• Provides financial needs assessment to the physicians so as to determine treatment interventions that best fit the patient’s medical and financial needs.
• Obtains initial and subsequent authorizations for chemo services.
• Notifies ordering physician’s office and infusion center when patient is ready to be scheduled.
• Secures other financial assistance, if needed. (i.e., Commercial co-pay assistance, Co-pay Foundations, Pharmaceutical Patient Assistance Programs, etc.)
• Coordinates with Oncology Pharmacy, Billing, IHA Hematology Oncology, Cancer Care Specialty Center, Infusion Clinics, Radiation Oncology, AIM Clinic, Women’s Health Center and the Mercy Cancer network Financial Navigator Affinity Group.
• Acts as the liaison with other SJMH service areas, family members, and physicians regarding billing requirements and financia