Patient Advocate / Oncology Financial Navigator
About The Position
Symbiotic Services, LLC is recruiting for a confidential specialty healthcare client in the Atlanta, Georgia area. The Patient Advocate / Oncology Financial Navigator helps patients access medical treatment by coordinating specialty medication prior authorizations, locating financial assistance, and resolving insurance-related barriers to care. The role handles authorizations for oncology treatments, IV medications, infusion therapies, and supportive-care drugs, and supports applications to manufacturer, copay, charitable foundation, and patient assistance programs. The position also helps patients and families understand coverage, out-of-pocket costs, and available financial resources. This is an on-site, temporary-to-permanent opportunity. The temporary assignment duration is pending confirmation, and permanent placement may be possible based on business needs and performance. The work takes place in a fast-paced specialty healthcare practice and includes regular interaction with patients, families, clinical professionals, scheduling teams, insurance representatives, and administrative staff. The schedule is described as standard business hours, with specific hours to be confirmed. Compensation and benefits details will be provided during recruitment and are subject to final confirmation.
Requirements
- Previous experience obtaining prior authorizations for specialty medications, oncology treatments, infusion therapies, or comparable specialty pharmacy and medical office services.
- Working knowledge of commercial insurance, Medicare, and Medicaid prior authorization requirements and approval processes.
- Familiarity with specialty medication coverage, insurance benefits, and reimbursement procedures.
- Experience communicating with insurance carriers, healthcare providers, and patients to resolve authorization or coverage issues.
- Strong organizational skills and ability to manage multiple authorization requests and financial assistance cases simultaneously.
- Excellent follow-through, persistence, and problem-solving abilities when working with insurance companies and assistance programs.
- Ability to work efficiently and accurately in a high-volume healthcare environment.
- Strong written and verbal communication skills.
- Empathy, patience, and professionalism when assisting patients and families facing serious medical diagnoses.
- Ability to work independently, prioritize urgent requests, and maintain accurate documentation.
Nice To Haves
- Certified Pharmacy Technician (CPhT) credential.
- Previous experience in oncology, hematology, infusion services, specialty pharmacy, or other complex specialty healthcare settings.
- Experience coordinating pharmaceutical manufacturer patient assistance programs, copay assistance, and charitable foundation grants.
- Familiarity with oncology medication authorization processes and specialty drug reimbursement requirements.
- Experience using athenahealth or comparable electronic health record (EHR) and practice management systems.
- Knowledge of patient financial counseling, insurance benefits coordination, and healthcare reimbursement processes.
- Experience supporting patients with complex financial assistance needs and treatment access challenges.
Responsibilities
- Obtain, process, and track prior authorizations for specialty medications, including oncology treatments, IV medications, infusion therapies, and supportive-care drugs.
- Manage authorization requests from initial submission through approval, denial resolution, reconsideration, or appeal.
- Gather and review clinical documentation, diagnosis information, medication details, and other materials required by insurance carriers.
- Communicate with commercial insurance companies, Medicare, Medicaid, and other payers to resolve authorization issues and expedite approvals.
- Identify financial assistance opportunities through pharmaceutical manufacturer programs, copay assistance programs, charitable foundations, and patient assistance programs.
- Assist eligible patients with enrollment applications, documentation requirements, renewals, and ongoing participation in financial assistance programs.
- Research assistance resources for nonmedical financial needs, including insurance premiums, housing expenses, utilities, and other qualifying financial burdens.
- Serve as a point of contact for patients and families regarding insurance coverage, out-of-pocket expenses, treatment-related financial concerns, and available support programs.
- Coordinate with scheduling teams so approved medications and treatments can be scheduled promptly.
- Maintain accurate documentation of authorizations, assistance applications, approvals, renewals, expiration dates, and patient communications.
- Monitor pending authorizations and assistance applications to help prevent treatment delays or interruptions.
- Collaborate with insurance verification, billing, clinical, and administrative teams to resolve coverage discrepancies and prevent avoidable claim denials.
- Identify opportunities to streamline authorization workflows, improve patient communication, and strengthen financial assistance processes.
- Maintain patient confidentiality and comply with applicable healthcare privacy requirements.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
