Patient Advocate / Oncology Financial Navigator

Symbiotic Services • Atlanta, GA

2d • Onsite

About The Position

Symbiotic Services, LLC is recruiting a compassionate, detail-oriented, and resourceful Patient Advocate / Oncology Financial Navigator for a confidential specialty healthcare client in the Atlanta, Georgia area. This on-site role helps patients access necessary medical treatments by coordinating specialty medication prior authorizations, identifying financial assistance opportunities, and resolving insurance-related barriers to care. The successful candidate will navigate specialty medication authorizations, insurance requirements, and patient assistance programs while supporting patients and families facing complex medical challenges.

This is a temporary-to-permanent opportunity. Assignment duration and schedule details are pending confirmation, and permanent placement may be possible based on business needs and performance. The role is based in a fast-paced specialty healthcare practice, involves frequent interaction with patients, families, clinical professionals, scheduling teams, insurers, and administrative staff, and carries high-volume authorization and financial assistance responsibilities. Standard business hours are expected, with the specific schedule to be confirmed. Compensation and benefits details will be provided during the recruitment process.

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.
• 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 insurers, Medicare, Medicaid, and other payers to resolve authorization issues and expedite approvals.
• Identify financial assistance opportunities through manufacturer programs, copay assistance programs, charitable foundations, and patient assistance programs.
• Help eligible patients complete enrollment applications, provide required documentation, renew applications, and maintain participation in assistance programs.
• Research assistance resources for nonmedical financial needs, including insurance premiums, housing, utilities, and other qualifying expenses.
• Support patients and families with questions about 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.
• Document authorizations, financial assistance applications, approvals, renewals, expiration dates, and patient communications accurately.
• 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 improve authorization workflows, patient communication, and financial assistance processes.
• Maintain patient confidentiality and comply with applicable healthcare privacy requirements.

What This Job Offers

• Education Level: No Education Listed