Transplant Financial Navigator

Inova Health System; Falls Church (VA); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Wellness program

Retirement match

Education assistance

Student loan assistance

Mental health support

Paid time off

Job summary

Inova Health System in Falls Church, VA, seeks a dedicated Transplant Financial Navigator for a full-time day shift. You will counsel patients on financial liability, verify insurance, and coordinate with the financial services team to maximize patient reimbursement.

Role requires 4 years in Patient Financial Services and a High School diploma or GED. You will collaborate with physicians, insurers, and care teams to minimize financial barriers and support cancer treatment pathways.

Qualifications

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

Responsibilities

• Educates and trains others in financial counseling policies and procedures.
• Provides education and resources to patients and healthcare teams to ease financial hardship.
• Partner with Patient Financial Services for claim submission and payment allocation.
• Assist in applying for funds, grants, and foundation programs to cover out-of-pocket costs.
• Serve as liaison between physicians, clinical teams, patients, pharmacies, and insurers.

Skills

Financial counseling

Insurance verification

Patient advocacy

Team education

Education

High School or GED

Tools

Online payer systems

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 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: offeringpaid 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