Thank you for considering a career at Bon Secours Mercy Health!
Scheduled Weekly Hours:
40
Work Shift:
8pm to 5am (Philippines)
Flexibility in schedule / Shifting
Primary Function/General Purpose of Position
The Financial Navigator (Expert)
is responsible for
comprehensive patient
financial management
, including leading complex and
high

risk
patient financial cases. The Navigator conducts patient financial navigation and patient fiscal need assessments while serving as an escalation resource for nuanced reimbursement and
assistance
scenarios. They will work closely with providers, patients, hospital staff, and practice administration to
determine
and execute the most
appropriate fiscal
solutions, providing advanced analytical and operational support for facility administration and financial related activities including drug recovery, billing and payment processes, and financial performance evaluation. The role is accountable for navigating complex
assistance
pathways to reduce patient financial burden and minimize unrecovered drug and service costs, while also mentoring and guiding Financial Navigator Specialists.
Additionally, this role will t
rain and onboard new
Financial Navigator
staff on systems, processes, and best practices, while
teaching
the team and documenting process updates.
Essential Job Functions
List the essential functions for the job. Essential functions are the reason a job exists.
·
Evaluate patients for
assistance
;
enroll and counsel
regarding
Patient Assistance Programs (PAP), including expert-level review and resolution of complex or nonstandard eligibility cases.
·
Manage drug procurement for indigent and underinsured populations and all aspects of drug recovery programs within local facilities; ensure all accounts are
submitted
for recovery accurately and
in a timely manner
, serving as a subject matter expert for recovery process optimization.
·
Develop and
maintain
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.
·
Monitor insurance payments for infusion services and
identify
opportunities for copay or foundation
assistance
;
submit
and track claims to copay
assistance
programs and charitable foundations,
independently handling escalations and payer exceptions.
·
Maintain and
govern
patient
assistance
documentation and tracking to support audit readiness, financial recovery validation, and downstream reporting.
·
Communicate with internal teams
regarding
payment discrepancies or
assistance
program updates,
providing guidance on best practices and process improvements.
·
Serve as the escalation point for complex manufacturer, foundation, or payer assistance issues that cannot be resolved through standard PAP workflows.
·
Train and onboard new PAP Navigator staff on systems, processes, and best practices. Provide guidance
, coaching,
and mentorship to PAP Navigator specialists.
Can serve as deputy of the supervisor as needed.
·
Ensure compliance with organizational policies and regulatory requirements, including privacy standards.
·
Protect and appropriately handle protected health information (PHI)
in accordance with
Health Insurance Portability and Accountability Act (HIPAA) guidelines.
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
N/A
(required)
Certified Pharmacy Technician (
CPhT
)
– Pharmacy Technician Certification Board
(preferred)
Education
Ba
c
helor’s
Degree
(required)
-
Specialty/Major: Business, Healthcare Administration, or related field
Master’s
Degree
(preferred)
-
Specialty/Major: Business, Healthcare Administration, or related field
Work Experience
3+ years of experience in healthcare billing, financial services, revenue cycle
,
and/or
BPO
(required)
5+ years of experience in patient financial advocacy, drug recovery programs, or specialty pharmacy
assistance
environments, including escalation
‑
level case handling
(preferred)
Training
Completion of the Association of Community Cancer Centers (ACCC) Financial Advocacy Boot Camp is preferred at the time of hiring and
required
within the first three (3) months of
employment.
Training
in patient
assistance
programs, infusion billing, and revenue cycle systems
(preferred
)
Language
N/A
(required)
Spanish or other languages based on patient population
(preferred)
As a Bon Secours Mercy Health associate, you’re part of a Mission that matters. We support your well-being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.
What we offer
Comprehensive HMO medical coverage, retirement plan and group life and accident insurance
One-time Work From Home allowance, connectivity allowance, wellness allowance and role-specific allowances
Paid vacation and sick leave
Government-mandated benefits: SSS, PhilHealth and Pag-IBIG contributions
Flexible working model with hybrid, onsite or virtual arrangements (based on role and business need)
Mission-driven culture events, community outreach and service opportunities
Learning and development programs, mentorship and clear career growth pathways
Modern, collaborative office spaces and regular engagement and culture-building activities
Benefits may vary based on employment terms and role.
Department:
Human Resources - Talent Acquisition - BSMH Global Business Systems
It is our policy to comply with all applicable Philippine labor laws and regulations and to uphold equal employment opportunity in all aspects of recruitment and employment.
All applicants will be considered for employment based on merit, qualifications, and business requirements, without regard to race, color, ethnicity, religion, sex, sexual orientation, gender identity or expression, civil status, age, disability, genetic information, nationality, or any other status protected under Philippine law.
We are committed to providing an inclusive workplace free from unlawful discrimination and harassment.
If you are a person with a disability and require reasonable accommodation as part of the application or selection process, please contact the Talent Acquisition Team at
[email protected]
. We will work with you to provide appropriate assistance in accordance with applicable laws and company policy.