Financial Navigator, Enterprise

Kindbody• US,

About The Position

As an experienced Financial Navigator, you will work in a fast-paced, rapidly growing environment where you will be relied on for your expertise, professionalism, and collaboration. We are looking for a dedicated Financial Navigator to join our team to coordinate the financial aspects of the patient's care. This role will greatly emphasize customer relations - you must be comfortable interacting, communicating, and working directly with patients.

Requirements

Bachelor’s Degree or Associate’s Degree
3+ years of healthcare front reception verification of benefits, prior authorization, and/or financial navigation experience in a fast-paced, customer-focused environment
Experience in insurance verification of benefits and familiarity with medical terminology

Nice To Haves

Fertility clinic experience is a plus
A passion for women’s health and fertility is a plus

Responsibilities

Manage assigned patients for both Managed Care and Employer Benefits financial matters throughout their Fertility Journey.
Ensures that patients are well educated about the financial and insurance aspects of their care
Conduct patient financial consultations to review and answer financial policy and requirements questions.
Verify eligibility and patient responsibility accumulations
Update patient accounts, including verification of insurance coverage and changes in patient information, with appropriate documentation.
Manage inbound customer communication (phone and portal) and ensure all messages are answered in a timely fashion.
Provide patient financial information.
Provide self-pay pricing, review financial agreements, and collect cycle pre-payments.
Review and approve loan payments from outside lending companies
Determine Major Medical insurance as well as Employer Benefits patient responsibility amounts and collect cycle prepayments
Patient follow-up to ensure payment of outstanding co-payments, balances, coinsurance, etc.
Maintain the highest degree of ethics when handling patient payments and bill processing.
Identify the need for any pre-authorizations
Review medical records for required information related to authorization requirements.
Have an understanding of the coverage requirements for each payer
Submit requests for the precertification team to review authorization requirements
Communicate to the clinic about pre-authorization requirements and any updates
Inform patients on any prior authorization approvals or denials and the next step
Customer Service
Serve as a Patient Advocate when patients have difficulty navigating with their insurance company.
Respond to patient calls/correspondence regarding billing questions, financial policies, claims submission
Respond to a high volume of telephone inquiries positively and professionally.
Ensure resolution and follow-up on all issues within designated timeframes.
Maintain positive relationships and clear communication with assigned Provider, Nurse, and Clinic Manager to assist in moving patients through treatment.
Meet positional metrics and benchmarks.
Follow all department standard operating procedures carefully and accurately
Other duties assigned by teammates include direct Manager, Associate Director, and/or Director.