Patient Financial Navigator

🕒 Maio 14

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Kandu

SiteLinkedInTodas as Vagas

51 - 200 funcionários

🔧 Hardware

🔬 Ciência

🤝 B2B

Hardware • Science • B2B

A Kandu é uma empresa de neurotecnologia e recuperação de AVC formada a partir da fusão da Neurolutions com a Kandu Health, que combina um dispositivo de interface cérebro-computador aprovado pelo FDA (IpsiHand®) com serviços personalizados de telessaúde e navegação ambulatorial. A empresa oferece programas de reabilitação clinicamente validados, baseados em casa, e coordenação de cuidados para sobreviventes de AVC, além de parcerias com sistemas de saúde e pagadores para reduzir reinternações e melhorar os resultados funcionais. A Kandu foca em traduzir terapias BCI apoiadas por pesquisas em cuidados pós-agudos acessíveis para ajudar pacientes a recuperarem mobilidade e independência.

Descrição

• 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

🎯 Requisitos

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

🏖️ Benefícios

• Insurance (Medical/Dental/Vision) • 401(k) with company • Unlimited PTO & Holidays • Life Insurance, LTD and STD