Patient Financial Navigator (Temporary)

Kandu, Inc.Los Angeles, CA
3d$25 - $29

About The Position

The Patient Financial Navigator serves as the primary point of contact for patients seeking information about insurance benefits, out-of-pocket costs, and financial assistance options for Kandu medical devices and services. This role requires a detail-oriented professional who can navigate complex insurance landscapes while delivering compassionate, accurate financial guidance to patients and their families.

Requirements

  • High school diploma or equivalent
  • Minimum 3 years of experience in medical billing, insurance verification, or patient financial services
  • Working knowledge of Medicare, Medicaid, and commercial insurance benefit structures
  • Demonstrated proficiency with insurance eligibility verification systems and medical billing software
  • Strong understanding of durable medical equipment (DME) billing practices and reimbursement
  • Excellent verbal and written communication skills with ability to explain complex financial information clearly
  • Proven ability to handle sensitive patient situations with empathy and professionalism
  • Strong attention to detail and organizational skills
  • Proficiency in Microsoft Office Suite

Nice To Haves

  • Associate's or Bachelor's degree in Healthcare Administration, Business, or related field
  • Certification as Certified Patient Account Representative (CPAR) or similar healthcare financial credential
  • Prior experience in a startup or fast-paced healthcare environment
  • Experience with neurological or rehabilitation medical devices
  • Bilingual capabilities (Spanish preferred)

Responsibilities

  • Conduct patient-facing financial discussions regarding insurance benefits, coverage determinations, and out-of-pocket cost estimates
  • Explain Kandu's income-based cash-pay program structure and guide patients through tier qualification and enrollment processes
  • Field inbound calls from patients with questions about their insurance benefits, billing statements, and payment options
  • Provide clear, accurate information about coverage for Kandu devices across Medicare, Medicaid, and commercial insurance plans
  • Provide support for patients who have insurance claim and/or statement questions with a focus on single-call resolution.
  • Interpret explanation of benefits (EOB) documents and communicate findings to patients in accessible language
  • Navigate billing software to access patient accounts, payment histories, and outstanding balances
  • Document all patient interactions and financial counseling sessions in company systems
  • Ability to perform insurance eligibility verification using industry-standard verification systems with correct interpretation.
  • Evaluate patient eligibility for financial assistance programs within established guidelines
  • Offer and set up payment plans for eligible patients within authorized approval limits
  • Escalate complex financial assistance cases and exceptions to appropriate leadership for review and approval
  • Maintain current knowledge of available patient assistance resources and community programs
  • Maintain accurate documentation of all patient financial interactions in compliance with HIPAA and company policies
  • Track and report key metrics related to patient financial interactions and outcomes
  • Collaborate with Revenue Cycle and Patient Services teams to resolve billing issues and improve patient experience
  • Stay current on changes to insurance policies, coverage guidelines, and reimbursement regulations

Benefits

  • Competitive Compensation ($24.50/Hr to $29.00/Hr)
  • Kandu, Inc. is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
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