Job Description

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.

We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.

Job Title

Financial Navigator NE

Location

Vero Beach

Facility

Indian River Hospital

Department

Ancillary Cancer Ctr-Indian River Hospital

Job Code

D99828

Shift

Days

Schedule

8:00am-4:30pm/7:30am-4:00am

Join our team at Cleveland Clinic Indian River Hospital and experience world-class patient care at its best. Located in sunny Florida’s Treasure Coast, Indian River Hospital is committed to providing optimal family- and community-focused services. Here, you will be part of a collaborative, compassionate, and innovative team of caregivers. You will work with state-of-the-art technology and will build a rewarding career with one of the most respected healthcare organizations in the world.

A caregiver in this positionworks7:30am—4:00pm or8:00am– 4:30pm

A caregiver who excels in this role will:

• Meet with patients to review financial responsibility and develop a plan to coordinate resources to supplement patients' out-of-pocket expenses.

• Promote an integrated/coordinated approach to managing the continuum of care and financial obligations for the patient and their family members that come to the Institute.

• Serve as a liaison to patients with internal and external resources for co-pay assistance, drug replacement and other financial assistance as well as psychosocial assistance.

• Develop standard operating procedures to guide and build a program that effectively supports the care and financial responsibility of patients.

• Implement new processes to guide patients to the appropriate resources and support services.

• Educate patients on availability of Patient Assistance Programs.

• Identify, evaluate and resolve cancer patient complaints.

• Assess eligibility and assist self-paid and under-insured patients with Patient Assistance Programs (PAP) for free drug, replacement drug and copay assistance.

• Coordinate with clinical team and social workers in identifying eligible patients as well as obtaining information and documentation for eligible patients.

• Interview potential patients for assistance and collect all financial forms related to eligible PAP applications and maintain a database.

• Monitor and track status of application and communicate with pharmacy, physician and clinical team.

• Clarify patient medications and dosages and generate applications for PAP renewals.

• Forward adjustment requests to Revenue Cycle Management for assisted patients when applicable.

• Educate staff and Administration to assist in understanding of processes and procedures surrounding PAP's and encourage patient referrals.

• Track and monitor data analytics and databases related to all new patients being treated at Taussig Cancer Center, main campus and region and their contractual arrangements for cancer services and out of pocket responsibilities.

• Capture data queries that will drive decisions and process improvement for treatment delivery as well as collaboration with payers.

• Obtain authorizations for research and non-FDA approved procedures and treatments; submit letter of medical necessity and follow-up for approvals on procedures.

Minimum qualifications for the ideal future caregiver include:

• High school Diploma or GED required

• Additional progressively responsible experience may offset degree requirement

• Attention to detail and accuracy

• Interpersonal, process improvement and problem resolution skills

• Computer experience and ability to navigate multiple systems simultaneously

• Knowledge of insurance coverage, limitations, requirements, eligibility, pharmacy formulary, prior authorization, coordination of benefits, diagnosis codes, billing and collecting

• Strong communication, analytical and critical thinking skills

Preferred qualifications for the ideal future caregiver include:

• Bachelor’s Degree

• Microsoft Office skills

Personal Protective Equipment:

• Follows Standard Precautions using personal protective equipment as required.

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility.

If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/

Please review the Equal Employment Opportunity poster

Cleveland Clinic is pleased to be an equal employment opportunity employer.