While Vail is recognized world-wide for its year-round recreational activities, Vail Health has over 900 employees and is known for being one of the region's largest employers and a cornerstone of our community.
Shaw Cancer Center is the region's only fully accredited cancer treatment center and comprehensive breast center
At the base of North America's number one ski mountain, Vail Health has been providing care to the local and surrounding communities since 1965.
Internationally known orthopaedic and sports therapy practices
Emergency and trauma services in three convenient locations throughout the Valley
Highly accredited regional cancer care
A birthing center that performs an average of 600 deliveries/year
Elite surgical services
The role of the Oncology Financial Navigator is to improve and maximize the revenue capture at SCC/VHH by educating and enrolling oncology patients into Third Party Assistance programs that reduce patients’ out-of-pocket expenses while maximizing savings for VHH’s charity program and reducing the number of patients that fall into collections. The Financial Navigator will assist all SCC patients in navigating available financial resources to help pay for their prescribed therapy and avoid any associated financial toxicity due to their cost of care. The Navigator will research and enroll eligible patients into financial assistance programs from all available internal and external resources, including but not limited to: the VHH Financial Assistance Program, copay assistance programs for IV and oral drugs, drug replacement programs, grants from national oncology foundations, as well as local and community
ESSENTIAL JOB FUNCTIONS:
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.
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
Bachelor’s Degree in healthcare or related field.
Click the Continue to Application button to apply.
Vail Health provides attractive benefits for year-round employees and seasonal employees. Check out the details here.
Vail Health, formerly Vail Valley Medical Center, is a nonprofit community health care system serving patients and guests from around the world. Locally operated and governed by a volunteer board of directors, Vail Health includes a 56-bed hospital, accredited by the Joint Commission. Our 24/7 emergency department in Vail is a Level III Trauma Center with a nearby helipad for necessary medical transports. Vail Health provides a wide array of services and access points including Beaver Creek Medical Center, urgent care clinics in Avon and Gypsum, our Edwards medical campus, Eagle Healthcare Center and a multispecialty clinic in Frisco. Howard Head Sports Medicine offers physical therapy services at 10 locations and works closely with our internationally renowned orthopaedic partners at The Steadman Clinic and Vail-Summit Orthopaedics. In addition, Vail Health's Shaw Cancer Center and Sonnenalp Breast Center are the region’s only fully accredited cancer treatment center and comprehensive breast center. The Vail Clinic, which was founded in 1965, officially became “Vail Valley Medical Center” in 1980, its first year as a full-service hospital. At that time, we had one primary locatio...n and 25 physicians. Today, Vail Health has locations in nine towns, nearly 1,000 employees, 260 physician partners and 85 volunteers. Vail Health is an equal-opportunity employer. The hospital is handicap accessible and adheres to the Americans with Disabilities Act. Smoking is prohibited in our facilities. This includes e-cigarettes.