Financial Navigator Senior

University of Kentucky; Lexington (KY); On-site; USD 65,000 - 90,000; Full time

Job summary

Beyond Blue is seeking a Financial Navigator Senior in Lexington to lead advanced patient financial navigation and reduce barriers to care. You will provide expert guidance on insurance coverage, financial assistance programs, and payment options while managing complex cases.

You will oversee applications for Medicaid, Medicare, and other programs, coordinate with revenue cycle and leadership, and mentor junior staff. The role emphasizes HIPAA and CMS compliance and improving processes.

Qualifications

• 3-5 years of experience in patient financial services, revenue cycle, healthcare billing, or financial counseling.
• Equivalents in education and experience may be considered and paid experience is required.
• All experience must be paid and in the same related field.

Responsibilities

• Provides advanced financial counseling and education on insurance benefits, eligibility and financial responsibility.
• Leads assessments of patient eligibility for financial assistance and charity care for complex cases.
• Directly processes and tracks financial assistance and charity care applications for complex cases.
• Resolves barriers in the financial assistance process through collaboration with stakeholders.
• Guides patients through Medicaid, Medicare, marketplace, and other coverage applications.
• Collaborates with billing and leadership to resolve escalated financial concerns.
• Develops training and mentorship for navigation staff.
• Prepares reports on navigation outcomes and program effectiveness.
• Ensures HIPAA, EMTALA, CMS compliance with policies.

Skills

Advanced financial counseling

Financial navigation

Insurance benefits

Charity care navigation

Mult payer coordination

Mentoring staff

Process improvement

HIPAA compliance

CMS compliance

Data reporting

Education

High school diploma or equivalent

Job description

Beyond Blue Job Posting Title: Financial Navigator Senior Requisition Number: R-000005694 Department Name: Assistance Work Location: 2317 Alumni Park Plaza Grade Level: 7 Type of Position: Regular Position Time Status: Full time Equivalency Link https://hr.uky.edu/employment/working-uk/equivalencies Shift: Day (United States of America) Job Description:

Job Summary Responsible for leading advanced patient financial navigation services to reduce barriers to care and ensure patient access. Provides expert-level guidance on insurance coverage, financial assistance programs, and payment options while managing complex or escalated financial cases. Oversees and participates in the execution, tracking, and resolution of financial assistance program applications for complex patient cases. Ensures compliance with organizational policies, payer requirements, and regulatory standards, while safeguarding patient confidentiality. Develops process improvements, mentors junior staff, and serves as a subject matter expert in patient-centered financial support. Coordinates across revenue cycle, clinical leadership, and community partners to align financial navigation with organizational goals and enhance the patient experience.

Essential Functions

• Provides advanced financial counseling and education to patients and families regarding complex insurance benefits, eligibility, and financial responsibility.
• Leads assessments of patient eligibility for financial assistance, charity care, and external community resource programs while managing escalated or complex cases, including high-cost treatments, specialty services, and multi-payer coordination.
• Directly processes, submits, and tracks financial assistance, charity care, and hospital program applications for complex and escalated cases, ensuring all required documentation is collected and submitted accurately and in a timely manner.
• Troubleshoots and resolves barriers or delays in the financial assistance application process, collaborating with internal and external stakeholders as needed.
• Guides patients through applications for Medicaid, Medicare, marketplace insurance, and other financial coverage programs, ensuring accuracy and timeliness.
• Collaborates with billing, revenue cycle, and leadership teams to resolve escalated financial concerns and systemic barriers.
• Develops and delivers training, mentoring, and support for financial navigation staff to ensure consistency and professional growth.
• Prepares advanced reports on financial navigation outcomes, patient access metrics, and program effectiveness including conducting quality reviews of financial navigation activities and recommending process improvements.
• Serves as a subject matter expert for compliance with HIPAA, EMTALA, CMS, and organizational policies related to financial navigation.
• Performs other duties as assigned.

Education Requirement:

High school diploma or equivalent

Experience Requirement:

3-5 years of experience in patient financial services, revenue cycle, healthcare billing, or financial counseling. An equivalent combination of education and experience may be considered. All experience must be paid and in the same related field. Part-time and PRN experience will be prorated based on hours worked per week. Volunteer work and internships for academic credit are not counted.

Certifications & Licensures:

N/A

Working Conditions

• A. Lifting, pushing, and/or pulling objects up to 50lbs:2. Occasional (< 10% of the time)
• B. Lifting, pushing, and/or pulling objects over 50lbs:1. Never
• C. Standing or walking with objects up to 10lbs:3. Intermittent (10% - 50% of the time)
• D. Standing or walking with objects up to 25lbs:2. Occasional (< 10% of the time)
• E. Sitting at the computer workstation for extended periods:3. Intermittent (10% - 50% of the time)
• F. Risk of back injury from moving, lifting or positioning patients, equipment, or materials:2. Occasional (< 10% of the time)
• G. Repetitive motion:3. Intermittent (10% - 50% of the time)
• H. Working at heights above 4 feet:1. Never
• I. Working in confined spaces:1. Never
• J. Risk of injuries from use of equipment on the job:2. Occasional (< 10% of the time)
• K. Job-related travel:2. Occasional (< 10% of the time)
• L. Loud noises:1. Never
• M. Temperature extremes:1. Never
• N. Hazardous chemicals and fumes including waste:2. Occasional (< 10% of the time)
• O. Radiation:1. Never
• P. Burns:1. Never
• Q. Cuts/Punctures:2. Occasional (< 10% of the time)
• R. Bloodborne/airborne pathogens:2. Occasional (< 10% of the time)
• S. Recombinant DNA or viral vectors:1. Never
• T. Combative/violent people:1. Never
• U. Animal handling (including carcasses):1. Never
• V. Please specify other(s) and amount of exposure (i.e. Occasional, Intermittent or Regular): N/A

Physical Demands

This position requires intermittent sitting at a computer workstation for extended periods of time; performing tasks with repetitive motions (such as typing); intermittent standing or walking with objects weighing up to 10 pounds; occasional standing or walking with objects weighing up to 25 pounds; and occasional lifting, pushing, or pulling objects weighing up to 50 pounds.

Our University Community We value the well-being of each of our employees and are dedicated to creating a healthy place for everyone to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors, the University of Kentucky is a Tobacco & Drug Free campus. The University follows both the federal and state Constitutions as well as all applicable federal and state laws on nondiscrimination. The University provides equal opportunities for qualified persons in all aspects of institutional operations and does not discriminate on the basis of race, color, national origin, ethnic origin, religion, creed, age, physical or mental disability, veteran status, uniformed service, political belief, sex, sexual orientation, gender identity, gender expression, pregnancy, marital status, genetic information or social or economic status. Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen. Purpose-driven work is behind every aspect of our mission to advance Kentucky – from its economy to its health and from its culture to its levels of educational attainment. We're looking for talented, dedicated individuals to help us support this vital mission and make a difference in the lives of Kentuckians and beyond. Join us as we build a future grounded in service, collaboration and excellence, one where your talents help move our Commonwealth forward.

Beyond Blue Corporation, an affiliated entity of the University of Kentucky, is a strategic vehicle to support the university's growth. Beyond Blue is a nonprofit company that allows the university to abide by all public entity rules and laws while allowing leaders to have some separation and distinctiveness to focus on one core business. The UK Board of Trustees appoints the Beyond Blue Board of Directors and the directors of any of its subsidiary companies.