Oncology Financial Navigator

Trinity Health Corp.; Fort Lauderdale (FL); On-site; USD 52,000 - 70,000; Full time

Job summary

Trinity Health Florida in Fort Lauderdale seeks a Full-time Patient Financial Services Specialist to guide patients through treatment costs, insurance coverage, and available payment resources. You will secure and document payment arrangements and assist with pre-authorization for infusion and oncology services per complex plans.

Responsibilities include coordinating with patients, physicians, insurers, and pharma to ensure approvals, validating codes, and explaining financial options including

Qualifications

• High school diploma or GED required.
• 2–3 years experience in Patient Access or Patient Accounting for hospital registration or hospital reimbursement services.
• National certification in HFMA CRCR and/or NAHAM CHAA required within 1 year of hire.
• Understanding of basic billing and coding.

Responsibilities

• Provides patient counseling regarding treatment costs, insurance coverage, available payment resources, and financial assistance options.
• Secures and documents payment arrangements.
• Submits authorization for initial and subsequent high-cost infusion and oncology services based on complex treatment plans.
• Coordinates with the patient, physician, insurance company, and pharmaceutical company to complete the required pre-authorization process.
• Validates payable diagnosis codes/medical necessity and prior therapy requirements according to FDA and NCCN guidelines.
• Assists patients in financing, payment plans, financial assistance and all financial options through the organization.
• This includes grants, co-pay assistance for high-cost pharmacy/drugs and free-drugs for infusion and specialty care patients.

Skills

Understanding of billing and coding

Education

High school diploma or GED

Job description

Trinity Health Florida in Fort Lauderdale seeks a Full-time Patient Financial Services Specialist to guide patients through treatment costs, insurance coverage, and available payment resources. You will secure and document payment arrangements and assist with pre-authorization for infusion and oncology services per complex plans.

Responsibilities include coordinating with patients, physicians, insurers, and pharma to ensure approvals, validating codes, and explaining financial options including