Oncology Financial Navigator: Access & Reimbursement

Trinity Health; Grand Rapids (MI); On-site; USD 80,000 - 110,000; Full time

Job summary

Trinity Health in Grand Rapids, MI seeks a Clinical Financial Navigator to optimize insurance coverage and access to care for oncology and infusion patients. You will collaborate with a multidisciplinary team to minimize out-of-pocket costs while maximizing reimbursement opportunities.

The role emphasizes analytical skills, clinical knowledge, and proactive strategies to reduce financial barriers and support timely treatment adherence.

Qualifications

• Master's degree in a clinical healthcare field is required; oncology or related focus preferred.
• Licensure in Michigan related to clinical discipline required (e.g., RN or LMSW).
• At least seven years in clinical care and health insurance, reimbursement, or revenue cycle.

Responsibilities

• Assess financial needs of oncology and outpatient infusion patients, reviewing insurance and treatment plans.
• Identify insurance coverage and financial assistance opportunities using clinical knowledge.
• Optimize benefits to reduce patient costs and improve affordability.
• Educate patients on coverage options and available resources.
• Connect eligible patients with external aid programs and copay support.
• Collaborate with physicians, social workers, and revenue cycle teams on cases.
• Maintain knowledge of regulations, reimbursement methods, and patient resources.
• Report quarterly metrics on patient savings and reimbursement outcomes.
• Present data to leadership and participate in ongoing education.

Skills

Oncology knowledge

Health insurance

Financial navigation

Communication skills

Analytical skills

Revenue cycle understanding

Education

Master's degree in clinical healthcare

Tools

EMR systems

Revenue cycle software

Job description

Trinity Health in Grand Rapids, MI seeks a Clinical Financial Navigator to optimize insurance coverage and access to care for oncology and infusion patients. You will collaborate with a multidisciplinary team to minimize out-of-pocket costs while maximizing reimbursement opportunities.

The role emphasizes analytical skills, clinical knowledge, and proactive strategies to reduce financial barriers and support timely treatment adherence.