Senior Patient Financial Navigation Specialist

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

📋 Description

• Deliver expert-level advice to patients regarding insurance coverage, billing, and financial assistance.

• Work in partnership with billing, commercial, and customer service teams to resolve escalated issues.

• Guide junior navigators and take part in training programs and best practices.

• Examine trends related to patient financial issues and assist in strategic planning and policy formulation.

• Navigate payor portals, websites, and phone systems to verify eligibility, prior authorization, claim, and appeal statuses.

• Support leadership in establishing a top-tier patient experience centered around financial transparency and trust.

• Actively address billing issues and maintain clear communication with patients.

• Serve as a liaison between patients, providers, insurance companies, and internal stakeholders.

• Identify systemic challenges and propose process enhancements.

⛳️ Requirements

• High school diploma or GED.

• Preferred: Associate's or bachelor's degree in healthcare administration, business, or a related field.

• Proficient in Microsoft Office, particularly Word and Excel.

• Minimum of 4 years of experience in healthcare billing, insurance coordination, or patient financial services.

• Proven track record of providing excellent patient experiences.

• Extensive background in patient financial navigation, healthcare billing, or insurance coordination.

• Capability to manage complex patient cases with empathy, clarity, and professionalism.

• Strong communication and interpersonal skills.

• A passion for patient advocacy and a dedication to enhancing the healthcare experience.

• Familiarity with CRMs like Salesforce and billing software such as Epic, XiFin, or Quadax.

• Robust understanding of health insurance plans, benefits, and coverage verification processes.

• Skill in clearly and empathetically explaining complex financial and insurance details.

• Ability to evaluate patient financial needs and suggest payment plans or financial assistance alternatives.

• Located on the East Coast.

• Availability to work from 11:30 am to 8 pm ET.

🏝️ Benefits

• Competitive salary and benefits package.

• Additional discretionary bonuses/incentives may be offered.

• Potential availability of restricted stock units.

• Opportunities for career advancement.

• An inclusive workforce and workplace environment.

• Recognition as a 2024 Certified™ Great Place to Work®.