Patient Financial Navigator

🕒 il y a 28 jours

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Kandu

Site WebLinkedInTous les Emplois

51 - 200 employés

🔧 Matériel

🔬 Science

🤝 B2B

Hardware • Science • B2B

Kandu est une entreprise de neurotechnologie et de réhabilitation post-AVC résultant de la fusion de Neurolutions et de Kandu Health. Elle combine un dispositif d'interface cerveau-ordinateur approuvé par la FDA (IpsiHand®) avec des services personnalisés de télésanté et de navigation en soins externes. La société propose des programmes de rééducation à domicile cliniquement validés et une coordination des soins pour les survivants d'un AVC, en partenariat avec les systèmes de santé et les assureurs pour réduire les réadmissions et améliorer les résultats fonctionnels. Kandu se concentre sur la traduction des thérapies BCI, soutenues par la recherche, en soins post-aigus accessibles pour aider les patients à retrouver leur mobilité et leur indépendance.

Description

• 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

🎯 Exigences

• 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)

🏖️ Avantages

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