Oncology Financial Navigator
To us, it's about living life to the fullest while serving our patients, teammates, neighbors and friends. We are dedicated and passionate in everything we do, seeking challenge and appreciating the routes that got us here. Whether our path is clinical or not, we all came to find balance and meaning in our lives within the work we are passionate about and the adventures we live.
Vail Health has become the world’s most advanced mountain healthcare system. Our updated 520,000-square-foot hospital opened in December 2020. This state-of-the-art facility provides exceptional care to all of our patients, with the most beautiful views in the area, located centrally in Vail.
Some roles may be based outside of our Colorado office (as stated in the Job Title). Roles based outside of our primary office can sit in any of the following states: AZ, CO, CT, DC, FL, GA, ID, IL, KS, MA, MD, MI, MN, NC, NJ, OH, OR, PA, SC, TN, TX, UT, VA, WA, and WI. Please only apply if you are able to live and work primarily in one of the states listed above. State locations and specifics are subject to change as our hiring requirements shift.
- Maintain extensive database for Third Party Assistance (TPA) Programs for oncology patient financial assistance and continuously monitor for changes and/or updates regarding each TPA’s available funding and their eligibility and enrollment requirements.
- Meet with new patients and their caregivers to provide patient-specific education on their insurance benefits and estimated out-of-pocket expenses for their prescribed therapy prior to treatment initiation.
- Help patients complete applications for financial assistance, pharmaceutical assistance, and government programs in a timely and HIPAA compliant manner. Work closely with the Oncology Social Worker on cross over patients and make referrals as necessary.
- Track all TPA funding received and report the information to the VP Oncology on a bi-monthly basis. Report trending and forecasting on special projects as requested by VP Oncology.
- Obtain all required insurance prior authorizations for oral chemo and therapeutic medications prescribed by SCC provider’s; liaise with specialty and local pharmacies as well as pharmaceutical companies to coordinate medication delivery and provide continuous status updates to patients regarding their prescription drugs.
- Serve as the oncology point of contact for all patient billing questions and concerns; work directly with the Patient Financial Services (PFS) staff to resolve all SCC patient billing matters.
- Submit patient claims and applications for financial assistance in a timely and HIPAA compliant manner. Post all monies received to the financial system and provide updates to patients as funding is received on their behalf.
- Liaise with pharmaceutical company representatives for both IV and oral therapies to learn about their products, co-pay programs and potential foundation assistance. Act as the first line of contact for pharmaceutical reps and communicate applicable changes/updates to the clinical team as appropriate.
- Serve as an integral member of the SCC front office team who provides coverage and assistance as needed for planned and unplanned PTO/sick leave for the following positions: front desk/patient access, insurance verification, and medical records. Provide PTO coverage for the oncology business analyst as needed and performs other duties as assigned.
- Regularly attend weekly Chartrounds meetings with clinical staff and communicate all pertinent patient information regarding new treatment starts, treatment plan changes, and any urgent patient needs to the appropriate front office staff.
- Promote an atmosphere of warmth, compassion, and understanding while demonstrating empathy and the ability to relate to patients and their families. Seek first to understand and come from a place of “What if?”
- Role models the principals of a Just Culture and Organizational Values.
- Perform other duties as assigned. Must by HIPAA compliant.
- 3-5 years of experience in a healthcare setting required.
- Previous oncology-specific financial navigation or financial counseling experience preferred.
- Experience working in an oncology setting preferred.
- Must possess, or be able to obtain within 90 days, the computers skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc. Must be comfortable working with various computer programs, including the MicroSoft Office suite.
- Bachelor’s Degree in healthcare or related field.
Benefits at Vail Health
- Competitive Wages & Family Benefits: Competitive wages, parental leave, housing programs and childcare reimbursement to support the cost of living in a mountain community.
- Comprehensive Health Benefits: Top-quality health care package including vision, dental and medical with options of flexible spending and health savings accounts.
- Education Assistance: We are proud to offer tuition and student loan assistance programs.
- Paid Time Off: Roughly five weeks in your first year of employment and continues to grow each year.
- Retirement & Supplemental Insurance: 403(b) Retirement plan with matching potential, life insurance, short and long-term disability, and more.
- Recreation Benefits, Wellness & More: Recreation discounts, pet insurance and a $1,000 annual wellness reimbursement program.
As a condition of employment, Vail Health requires COVID-19 vaccination of all clinical and non-clinical staff, excluding remote status.