Clara N Lambert

Director of Financial Navigation & Subject Matter Expert at TailorMed
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Location
Greater Chicago Area

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Josh Bergren

I’ve known Clara for years and worked with her in a variety of ways as she has grown in her career. She is knowledgeable, professional, and a pleasure to work with. I wouldn’t hesitate to recommend her in any facet of healthcare finances, insurance literacy, or Oncology financial resource management.

Anthony Young, MBA, CRCR

Clara is one of the most professional and knowledgeable people that I have had the pleasure of working with. Her ability to understand disjointed processes and to refine them into a workable solution for customers has made her an undeniable asset to organization. Clara has been eager to share knowledge of Financial Navigation and navigation of insurance/payor challenges. She is a sought after resource for us internally, and also throughout the industry. We are lucky to have her!

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Credentials

  • OPN-CG
    Academy of Oncology Nurse and Patient Navigators
    Mar, 2017
    - Sep, 2024

Experience

    • United States
    • Hospitals and Health Care
    • 1 - 100 Employee
    • Director of Financial Navigation & Subject Matter Expert
      • Mar 2020 - Present

      In my current role, I head the Financial Navigation function, collaborating with cross-functional teams including Sales and Product to provide valuable insights on financial navigation, US health insurance, patient access to care, and patient assistance programs, along with tailored demonstrations of the platform. By understanding current processes and identifying gaps to create a future state incorporating new technology, I effectively support clients with change management. I also oversee sales, contracting, implementation and customer success for academic clients' research projects involving TailorMed technology. Key accomplishments in this role include: • Facilitated in person and virtual training to both internal staff members and external clients focused on Financial Navigation and the TailorMed platform. • Enhanced the marketing strategy by creating content, including blog posts, interviews with strategic financial navigation partners, poster presentations, webinars, and e-books, for both current clients and potential clients, positioning TailorMed as an industry leader. Show less

    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Oncology Financial Navigator
      • May 2018 - Jun 2021

      In this position, I led the financial navigation program, prioritized cases, and managed caseload assignments for approximately 2-4 new patients per day, while continuing with established patients. I offered guidance and support to leaders and peers as a resource within the department, while partnering closely with the Oncology Medical and Revenue Cycle Teams to eliminate barriers to access care and reduce financial toxicity. I guided, educated, and counseled patients and families on financial resources and options throughout cancer treatment. I managed cancer patient needs, funds disbursement, and administration. Additionally, I onboarded, trained, coached, and mentored new team members at several locations within the healthcare networks. Key accomplishments in this role include: o Spearheaded the multidisciplinary management of the financial navigation program, partnering with the infusion pharmacy to maintain inventory and obtain free drugs from Patient Assistance Programs, along with incorporating clinical referrals for patients experiencing financial toxicity so that they could seamlessly receive financial navigation services. o Served on the Technology Implementation Team for Financial Navigation Technology Solution Advocate at Aurora Healthcare. Show less

    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Oncology Financial Navigator
      • Sep 2013 - May 2018

      Key accomplishments in this role include:o Launched a nationally recognized oncology financial navigation program across the MHC Regional Rural Healthcare System and delivered training to 6 team members at 4 locations.o Introduced a patient assistance repository of pharmaceutical company assistance and disease-specific foundation resources.o Appointed to the Transition Management Team, representing MMC Oncology Services, throughout the building and opening of the Cowell Family Cancer Center, resulting in a smooth transition from multiple departments to a multidisciplinary cancer center with the patient at the center.o Founded and co-led the Employee Ambassador Committee for the Cowell Family Cancer Center, with a focus on employee engagement and satisfaction. Show less

    • Financial Liaison
      • Jan 2010 - Feb 2014

      In my role as financial liaison, I assisted patients who contacted the health system with concerns about their hospital bills. I tackled coordination of benefits issues, prior authorization and denial issues, and worked to reach resolutions for patients. In cases where the issue wasn't related to insurance, I collaborated with the patient to find solutions such as copay assistance, charity assistance, and payment plans that aligned with their budget.

    • PA Office Coordinator
      • Aug 2006 - Jan 2013

      In my role as the Patient Access Coordinator, I oversaw the insurance verification and financial counseling teams. During my tenure, I successfully introduced point-of-service collections in the Emergency Department and implemented the Medicare Important Message Process. These achievements were crucial in ensuring the smooth functioning of the department.

    • Patient Access Representative
      • Apr 2004 - Aug 2006

      As a Registration Representative for the Emergency Department and Central Scheduling, my main focus was on accurately registering patients and verifying their insurance for both inpatient and outpatient services. I found great satisfaction in carrying out this responsibility. Additionally, I was chosen from my team to be in charge of ensuring compliance with Michigan's No Fault Auto Law in cases of auto accidents, which was a great honor.

Education

  • Loyola University Chicago
    Public Health Certificate Program (CPH), Public Health
    2020 - 2021
  • Davenport University
    Bachelor of Business Administration - BBA, Integrated Studies: Business, Technology, Health
    2008 - 2015

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