Financial Navigator u2014 Ambulatory Pharmacy u2014 ...

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. Primary Function/General Purpose of Position The Financial Navigator is responsible for comprehensive patient financial management. The Navigator conducts patient financial navigation and patient fiscal need assessments. They will work closely with providers, patients, hospital staff, and practice administration to determine and execute the most appropriate fiscal solutions. The Navigator will provide analytical and operational support for facility administration and financial related activities including drug recovery within facilities, billing and payment processes, and analysis and evaluation of financial performance. Essential Job Functions + Conducts financial counseling for all infusion patients prior to initial treatment which includes notification of financial obligations. + Conducts screening, enrolling, and obtaining copay assistance and/or free drug for patients through Patient Assistance Programs (PAP). + Manages drug procurement for indigent and underinsured populations and all aspects of drug recovery programs within local facilities; ensures all accounts are submitted for recovery accurately and in a timely manner. + Monitors drug shipment status from approval through receipt of drug at the hospital pharmacy. + Develops and maintains a close interface with all components of the drug recovery and copay assistance process including patients, key hospital departments, and drug manufacturers and/or foundations. + Manages patient payment status and data including insurance coverage, self-pay credits and account write offs to resolve problems determining the cause and expediting correction or adjustment. + Answers billing and insurance questions as needed. + Maintains patient assistance database. + Coordinates procuring free drugs for accounts with medical necessity denials. + Submits referrals to support services (e.g. Medicaid screening, Bon Secours Mercy Health Charity financial assistance, social worker, marriage and family counselor, etc.) + Prepares evaluations of hospital, facility, or pharmacy related concerns and proposals to quantify financial implications. + Compiles and analyzes internal data for inpatient and outpatient services. + Responsible for distributing various reports to departments as needed. + Establishes and maintains relationships with other agencies and organizations in community to meet patient needs. + Coordinates, educates, and trains physicians, clinical staff, and support staff on patient assistance programs (e.g. free drug procurement, copay assistance) and offers in-service training sessions to enhance quality and patient satisfaction. + Understands and complies with Information Security and Health Insurance Portability and Accountability Act (HIPPA) policies and procedures at all times; uses, protects, and discloses patientsu2019 protected health information (PHI) only in accordance with HIPPA standards. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation. Licensing/Certification Commissioned Notary (required within 6 months of employment) Education High School/GED (required) Bachelors, Business/Healthcare Administration (preferred) Work Experience Minimum of 2 yearsu2019 experience in a professional healthcare environment (required) Minimum of 2 yearsu2019 experience as a financial biller in a healthcare setting, social worker ,and/or Certified Pharmacy Technician (required) 1 year experience with EPIC functionality (preferred) 2 yearsu2019 experience in social work of specialized patient population (e.g. oncology, hepatology, neurology, etc.) (preferred) Prior experience with patient assistance (preferred) Training Completion of Association of Community Cancer Centers (ACCC) Financial Advocacy Boot Camp within 3 months of employment (required) Patient Population Adolescents (13-17 years) Adults (18-64 years). Geriatrics (65 years and older) Working Conditions Periods of high stress and fluctuating workloads may occur. General office environment. May have periods of constant interruptions. Required to car travel to off-site locations, occasionally in adverse weather conditions. Prolonged periods of working alone. Physical Requirements Physical Demands Frequency 0% 1-33% 34-66% 67-100% Lifting/ Carrying (0-50 lbs.) X Lifting/ Carrying (50-100 lbs.) X Push/ Pull (0-50 lbs.) X Push/ Pull (50-100 lbs.) X Stoop, Kneel X Crawling X Climbing X Balance X Bending X Work Position Frequency 0% 1-33% 34-66% 67-100% Sitting X Walking X Standing X Additional Physical Requirements/Hazards Physical Requirements Manual dexterity (eye/hand coordination) Hear alarms/telephone/audio recordings Reach above shoulder Repetitive arm/hand movements Finger Dexterity Color Vision Acuity u2013 far Acuity u2013 near Hazards Not applicable to this position Skills Ability to work independently with minimal supervision Strong computer skills Knowledge of various software programs (e.g. Microsoft products, Epic) Ability to build strong relationships within and outside of organization Proficient math and accounting skills Ability to manage a variety of complex issues Critical thinking Communication Attention to detail Finance/Financial Advice Results-Oriented Analyzing Customer Service Empathy Interpersonal Skills As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-beingu2014personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer + Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) + Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts + Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders + Tuition assistance, professional development and continuing education support _Benefits may vary based on the market and employment status._ All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health u2013 Youngstown, Ohio or Bon Secours u2013 Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at

Created: 2026-03-09