Financial Navigator

Kindbody

83d

About The Position

As an experienced Patient 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 Patient Financial Navigator to join our team to coordinate the financial aspects of the patient's care. This role will have a large emphasis on 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
• Fertility clinic experience is a plus
• A passion for women’s health and fertility is a plus
• Strong written and verbal communication skills & a team player
• Willingness to be flexible, roll with the punches, multi-task, and troubleshoot problems
• Detail-oriented with strong organizational skills
• Exemplifies amazing customer service skills and professionalism
• Experience in insurance verification of benefits and familiarity with medical terminology

Responsibilities

• Manage assigned patients' financial matters throughout their Fertility Journey
• Ensure that patients are well educated about the financial and insurance aspects of their care
• Conduct patient financial consultations to review and answer questions related to financial policies and requirements
• 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 self-pay pricing, review financial agreements, and collect cycle pre-payments
• Review and approve loan payments from outside lending companies
• Determine insurance 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 and submit any pre-authorizations
• Review medical records for required information related to authorization requirements
• Have an understanding of the coverage requirements for each payer
• Submit the medical records to the payer in the manner required by the payer
• Continued management of all authorizations submitted and ensuring timely response is received from the insurance payor
• Communicate to the clinic about pre-authorization requirements and any updates
• Inform patients on any prior authorization approvals or denials and the next step
• 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 in a positive and professional manner
• 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 as assigned by teammates include direct Manager, Associate Director, and/or Director

What This Job Offers

• Education Level: Bachelor's degree