Transplant Financial Navigator

Inova Health; Falls Church (VA); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Medical, dental and vision

Retirement matching

Education assistance & student loans

Mental health support

Paid time off & parental leave

Job summary

Inova Health in Falls Church, VA, is seeking a Transplant Financial Navigator to support financial counseling and insurance verification for transplant patients. This full-time day-shift role collaborates with the transplant team to maximize patient reimbursement and ensure accurate authorization processes.

The role requires strong knowledge of patient financial services, with the ability to liaise across physicians and care teams to navigate billing and coverage for complex transplant

Qualifications

• 4 years of Patient Financial Services experience.
• High School diploma or GED.

Responsibilities

• Educates and trains others in financial counseling policies and procedures.
• Provides services to patients and families in the area of financial needs.
• Partners with Patient Financial Services for claim submission and payment allocation.
• Assists in obtaining funds and grants to cover out-of-pocket costs for treatments.
• Works as a liaison between physicians, clinical teams, patients, pharmacies and insurers.
• Verifies insurance, eligibility and authorization requirements.
• Performs other duties as assigned.

Skills

Patient Financial Services

Education

High School or GED

Job description

Job Description

Inova– 8095 Fairfax East – Transplant Team is looking for a dedicated Transplant Financial Navigator to join the team. This role will be full-time day shift Monday – Friday, Business Hours

Inova– 8095 Fairfax East – Transplant Team is looking for a dedicated Transplant Financial Navigator to join the team. This role will be full-time day shift Monday – Friday, Business Hours

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Featured Benefits

• Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
• Retirement: Inova matches the first 5% of eligible contributions – starting on your first day.
• Tuition and Student Loan Assistance: offeringup to $5,250 per year in education assistance and up to $10,000 for student loans.
• Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
• Work/Life Balance: offering paid time off and paid parental leave.

The Transplant Financial Navigator counsels patients on financial liability by using available financial counseling tools to achieve maximum reimbursement for patient services. Verifies and enters insurance information and authorization/referral requirements into the appropriate system while contributing to a safe patient care environment.

Transplant Financial Navigator Job Responsibilities

• Educates and trains others in financial counseling policies and procedures. Provides services, in the area of financial needs, to patients, families and the healthcare team members when appropriate.
• Provides patient and healthcare team members education, links to resources and data collection in support of easing the financial hardship on patients and their families.
• Partners with Patient Financial Services for claim submission and allocation of payments to the appropriate account. Takes ownership for the Medication Assistance/ Recovery Program. Completes copay assistance applications and follows processes from beginning to end.
• Efficiently applies for funds and/or grants and foundation programs to pay for out-of-pocket costs for cancer treatments, medications and other healthcare related items that meet our patients needs. Assists others in using online payer systems to complete insurance verification.
• Serves as a patient advocate, Liaison and educator to assist patients with understanding the cost of care and navigating the continuum of care. Serves as a Liaison between physicians, clinical teams, patients, pharmacies, research teams and contracted insurance plans.
• Serves as an expert in insurance verification, eligibility, medical necessity and the attainment of drug authorizations when required by insurance carriers for all medications ordered and administered in the program.
• Assists in-house financial services team with admission authorizations for related visits. Works with health insurance providers to determine coverage, benefit limits and financial responsibility while conveying this information to the clinical team, patients and families.
• Performs other duties as assigned.

Minimum Qualifications

• Experience - 4 years of Patient Financial Services
• Education - High School or GED

ABOUT US

We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world‑class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best‑in‑class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare.

Inova Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy‑related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.