Patient Financial Navigator (Full-time; Days)

LCMC Health; New Orleans (LA); On-site; USD 42,000 - 65,000; Full time

Job summary

LCMC Health is seeking a healthcare financial counselor to review patient insurance coverage for oncology services, explain co-pays and deductibles, and identify eligibility for financial assistance.

Role involves collaborating with case management and social work teams, generating cost estimates for treatments, and guiding patients through billing questions. Strong knowledge of billing practices and EHR systems is essential.

Qualifications

• Minimum of 3 years’ experience in healthcare financial counseling, patient access or medical billing.
• Knowledge of insurance benefits/plans, medical terminology and healthcare billing practices.

Responsibilities

• Review and verify patient insurance coverage and benefits for oncology services.
• Provide explanations of co-pays, deductibles, coinsurance and non-covered services.
• Identify opportunities for insurance optimization and financial assistance programs.
• Collaborate with case management, social work, and outsource support.
• Generate and communicate cost estimates for oncology treatments.
• Assist patients with understanding bills and resolve discrepancies.
• Set up flexible payment plans based on financial capacity.

Skills

Insurance processes

Medical terminology

ICD-10 CPT coding

Detail oriented

EHR/Healthcare software

Communication

Bilingual (Spanish)

CRC/CFC certification desirable

Education

High School Diploma or GED

Associates degree in healthcare related field (preferred)

Tools

Electronic Health Records (EHR)

Job description

Your job is more than a job This job description is intended to describe the general nature and level of work performed by employees assigned to this department. This is not an exhaustive list of all duties and responsibilities, and LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.

General Duties Review and verify patient insurance coverage and benefits for oncology services. Provide clear and compassionate explanations of co-pays, deductibles, coinsurance and non-covered services. Identify opportunities for insurance optimization, including secondary coverage, medical eligibility or financial assistance programs Collaborate with case management, social work teams, and outsource support to aid underinsured or uninsured patients. Generate and communicate cost estimates for physician ordered oncology treatment, including chemotherapy, radiation, imaging and surgical procedures. Apply, claim, and track patient assistance programs. Assist patients with understanding their bills and resolve discrepancies. Collect upfront payments as necessary based on financial policies Offer and set up flexile payment plans tailored to patient needs and financial capacity.

Experience Qualifications Minimum of 3 years’ experience in healthcare financial counseling, patient access or medical billing Knowledge of insurance benefits/plans, medical terminology and healthcare billing practices.

Education Qualifications High School Diploma or GED Associates degree in healthcare related field (preferred)

Licenses and Certifications N/A

Skills and Abilities Strong understanding of insurance processes and medical terminology ICD-10 and CPT coding understanding Detail – oriented with strong organizational abilities Proficient in using electronic health records (ER) and other healthcare software Excellent communication and interpersonal skills Bilingual (Spanish or tother language) a plus Certification as a Certified Revenue Cycle Representative (CRC) or Certified Financial Counselor (CFC) is desirable

Reporting Relationships Does this position formally supervise employees? No WORK SHIFT: Days (United States of America)

LCMC Health is a community. Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary Your extras Deliver healthcare with heart. Give people a reason to smile. Put a little love in your work. Be honest and real, but with compassion. Bring some lagniappe into everything you do. Forget one‑size‑fits‑all, think one‑of‑a‑kind care. See opportunities, not problems – it’s all about perspective. Cheerlead ideas, differences, and each other. Love what makes you, you - because we do You are welcome here.

LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.