Clinical Review Team Navigator

Job Description

The Patient Billing and Financial Care Assistance (PBFCA) department at Henry Ford Health is dedicated to ensuring that all patients receive the care they need, regardless of their financial situation. Our team works collaboratively across the organization to address financial barriers, connect patients with available assistance programs, and ensure a seamless care experience. We are committed to providing compassionate, patient-centered support while maintaining the highest standards of integrity and efficiency.

Role Overview

As a Clinical Review Team Navigator, you will play a vital role in assisting the Clinical Review Team in screening patient care requests for medical necessity and urgency. You¿ll ensure financial responsibilities are addressed before services are rendered, advise patients on financial assistance programs, and collaborate with physicians and staff to determine continuing care needs. Your work directly supports uninsured, underinsured, and insured patients, ensuring they receive the care they need while navigating financial complexities.

Why Henry Ford Health

At Henry Ford Health, we are relentless advocates for exceptional care for our patients, communities, and each other. We come to do meaningful work and grow our careers, and we stay for the connection, support, and shared pride in making the impossible, possible.

What You Will Do

• Assist in screening patient care requests for medical necessity and urgency.
• Ensure all financial responsibilities, including current and prior balances, are addressed before services are rendered.
• Advise patients on available financial assistance programs.
• Collaborate with physicians and Henry Ford Health staff to determine continuing care needs.
• Handle sensitive information with confidentiality, respect, and empathy in difficult interpersonal situations.

Qualifications

Required:

• High School Diploma or G.E.D. equivalent.
• Two (2) years of experience working as a patient navigator, patient advocate, financial navigator, or insurance verification specialist.
• Working knowledge of Microsoft Office Suite.
• Technical proficiency in EPIC applications such as Appointment Scheduling (all versions), Registrations, Work Queues, and Referrals.
• Ability to speak clearly and effectively.
• Customer service-oriented with the ability to handle sensitive information/issues in a confidential, respectful, assertive, and empathetic manner.

Preferred:

• Associate's degree or two (2) years of college course-work in business, community health, social work, case management, or a related field.
• Knowledge of medical terminology.

Additional Information

Join a team where you can grow your career, collaborate with dedicated professionals, and contribute to mission-driven work that makes a real difference. We provide opportunities for continuous learning and professional development in a supportive and innovative environment.

Join Our Team

Ready to make a meaningful impact? Apply now to join Henry Ford Health as a Clinical Review Team Navigator!

Company Description

Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford's care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation's most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus.