Patient Financial Navigator

This is a fully remote position, open to applicants in United States.

📋 Description

• Engage in financial discussions with patients concerning insurance benefits, coverage determinations, and estimates of out-of-pocket costs.

• Clarify Kandu's income-based cash-pay program and assist patients in the qualification and enrollment processes for various tiers.

• Address incoming inquiries from patients regarding their insurance benefits, billing statements, and available payment options.

• Deliver precise and comprehensive information about coverage for Kandu devices across Medicare, Medicaid, and commercial insurance plans.

• Assist patients with insurance claim and statement inquiries, prioritizing resolution within a single call.

• Interpret explanation of benefits (EOB) documents and convey findings to patients in an understandable manner.

• Utilize billing software to access patient accounts, payment histories, and outstanding balances.

• Record all patient interactions and financial counseling sessions in the company's systems.

• Capable of performing insurance eligibility verification using standard verification systems with accurate interpretation.

• Assess patient eligibility for financial assistance programs according to established guidelines.

• Propose and establish payment plans for eligible patients within authorized approval limits.

• Refer complex financial assistance cases and exceptions to relevant leadership for evaluation and approval.

• Keep up-to-date with available patient assistance resources and community programs.

• Ensure precise documentation of all patient financial interactions in adherence to HIPAA and company policies.

• Monitor and report essential metrics related to patient financial interactions and outcomes.

• Work collaboratively with Revenue Cycle and Patient Services teams to resolve billing issues and enhance patient experience.

• Remain informed about changes to insurance policies, coverage guidelines, and reimbursement regulations.

⛳️ Requirements

• High school diploma or equivalent.

• At least 3 years of experience in medical billing, insurance verification, or patient financial services.

• Familiarity with Medicare, Medicaid, and commercial insurance benefit structures.

• Proven expertise in using insurance eligibility verification systems and medical billing software.

• Strong understanding of durable medical equipment (DME) billing practices and reimbursement processes.

• Exceptional verbal and written communication skills with the ability to clearly explain intricate financial information.

• Demonstrated capability to manage sensitive patient situations with empathy and professionalism.

• High attention to detail and strong organizational abilities.

• Proficiency in the Microsoft Office Suite.

• Preferred: Associate's or Bachelor's degree in Healthcare Administration, Business, or a related field.

• Preferred: Certification as a Certified Patient Account Representative (CPAR) or similar healthcare financial credential.

• Preferred: Experience in a startup or fast-paced healthcare environment.

• Preferred: Familiarity with neurological or rehabilitation medical devices.

• Preferred: Bilingual capabilities (Spanish preferred).

🏝️ Benefits

• Insurance (Medical/Dental/Vision).

• 401(k) with company matching.

• Unlimited PTO & Holidays.

• Life Insurance, LTD, and STD.