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Meets with all new patients to review insurance, verification coverage and explore insurance options for insured, under-insured and uninsured.
- Educates on the availability of alternative insurance options (i.e. Medicare, Medicaid, Medicare Supplement, COBRA) and facilitates access to these programs.
- Discusses the Medicare application with eligible patients and assists with the application process.
- Discusses situation and options if employment status changes or other situations change.
- Collects necessary documents to complete initial and annual financial aid application.
- Discusses insurance options when insurance contracts are terminated.
- Completes monthly audit exam to stay current on internal policies.
- May present on insurance and financial assistance options to patients as necessary.
- Assists with applying for financial grants, prescription assistance programs and drug replacements.
- Helps under-insured or uninsured cancer patients enroll in coverage.
- Obtains documentation for proof of income.
- Educates patients regarding benefits.
- Conducts medical necessity verification and obtains signed Advanced Beneficiary Notice or Statement of Financial Responsibility for non-covered services.
- Works with various stakeholders within the Cancer Center leadership as well as Patient Finance departments to develop with patients to explain cost of treatment, insurance coverage and financial responsibility.
- Coordinates proper insurance verification information/documentation of patient's insurance, to be used to estimate the patient's financial responsibility.
- Enters and enrolls patients in pharmaceutical patient assistance programs including copay card eligibility and activation.
- Tracks all activities on behalf of patients.
- Contacts foundations to access patient support programs.
- Identifies patients appropriate for copay cards - Completes and processes applications.
- Reviews all payment/financial options (financial hardship, Medicaid applications, Access DuPage, payment plans, etc.)
- Reviews non-covered services and documents/escalates.
- Other duties as assigned
The Financial Navigator - Cancer Center may be required to travel to offsite locations and may be required to work extended hours or on Saturdays as needed.
- Bachelor's Degree plus 2 years' experience in financial entitlements, case management/human services advocacy or, in lieu of Bachelor's degree candidate can possess a Associates degree and 4 years' experience in financial entitlements, case management/human services advocacy.
- Proficient with PCs and Microsoft Office applications.
- Experience with direct patient interaction.
- Excellent written and communication skills.
- Exemplary customer service orientation, positive attitude and demeanor.
- Strong organizational and time management skills. Ability to work independently.
- Healthcare or insurance industry experience.
- Experience with Medicare, Social Security and Medicaid systems.
- Medicaid certified.
- Bilingual.
Special Notes: Resume/CV should be included with the online application.
Posting Overview: This position will remain posted until filled or for a maximum of 90 days. An initial review of all applicants will occur two weeks from the posting date. Candidates are advised on the application that for full consideration, applications must be received before the initial review date (which is within two weeks of the posting date).
If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date. Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.
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- Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
- All Hospital positions maybe subject to changes in pass days and shifts as necessary.
- This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
- This function/position maybe designated as "essential." This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.
Prior to start date, the selected candidate must meet the following requirements:
- Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services*
- Complete electronic reference check with a minimum of three (3) professional references.
- Successfully complete a 4 panel drug screen*
- Meet Regulatory Requirements for pre employment screenings.
- Provide a copy of any required New York State license(s)/certificate(s).
Failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.
*The hiring department will be responsible for any fee incurred for examination.
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Stony Brook University is committed to excellence in diversity and the creation of an inclusive learning, and working environment. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, familial status, sexual orientation, gender identity or expression, age, disability, genetic information, veteran status and all other protected classes under federal or state laws.
If you need a disability-related accommodation, please call the University Office of Equity and Access at (631)632-6280.
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Stony Brook University Hospital, consistent with our shared core values and our intent to achieve excellence, remains dedicated to supporting healthier and more resilient communities, both locally and globally.
Anticipated Pay Range:
The starting salary range (or hiring range) for this position has been established as $52,233 - $61,200 / year.
The above salary range (or hiring range) represents SBUH's good faith and reasonable estimate of the range of possible compensation at the time of posting.
In addition, all UUP positions have an additional $3,087
Your total compensation goes beyond the number in your paycheck. SBUH provides generous leave, health plans, and state pension that add to your bottom line.