Financial Navigator, Enterprise

Kindbody; United States; On-site; USD 50,000 - 70,000; Full time

Job summary

A leading fertility clinic network is seeking a dedicated Patient Enterprise Financial Navigator to manage patient financial matters. The role involves conducting financial consultations, ensuring patients understand their financial responsibilities, and maintaining communication with clinic staff. Candidates should have a Bachelor’s degree or equivalent experience in healthcare financial navigation and excellent customer service skills. This position is critical in providing seamless financial support to patients during their fertility journey.

Qualifications

• 3+ years of healthcare front reception verification of benefits, prior authorization, and/or financial navigation experience.
• Fertility clinic experience is a plus.
• Strong written and verbal communication skills.

Responsibilities

• Manage assigned patients for both Managed Care and Employer Benefits financial matters throughout their Fertility Journey.
• Conduct patient financial consultations to answer financial policy questions.
• Update patient accounts with appropriate documentation.
• Communicate with patients about billing questions and financial policies.

Skills

Customer service

Insurance verification

Communication

Organizational skills

Education

Bachelor’s Degree or Associate’s Degree

Job description

Kindbody’s mission is to make fertility and family-building care affordable and accessible for all.

Founded in 2018, Kindbody has been recognized for technology innovation and industry leadership, Kindbody has been named to CNBC Disruptor 50, Fast Company’s Brands that Matter, Forbes Best Startup Employers, Inc.’s Best In Business list of most admired companies, as well as Deloitte Technology Fast 500™, which recognizes the fastest growing and most innovative technology companies in North America.

Kindbody is the leading U.S. fertility clinic network and global family-building benefits provider for employers on a mission to make fertility care more affordable and accessible for all. Kindbody serves patients at 26 state-of-the-art signature clinics and IVF labs, 400+ partner clinics, and in 113 countries around the world. Trusted by more than 140 employers, Kindbody’s physician-led model covers the full-spectrum of reproductive healthcare including fertility assessments, fertility preservation, genetic testing, IVF, donor and surrogacy services, adoption, postpartum care, and menopause support. Kindbody is the only fertility benefits provider that serves patients directly, delivering a seamless, integrated experience with superior health outcomes at lower cost. Kindbody has raised more than $315 million in debt and equity funding from leading investors including Perceptive Advisors, JP Morgan Chase’s Morgan Health, GV, RRE Ventures, Claritas Health Ventures, Rock Springs Capital, Distributed Ventures, Whatif Ventures and TQ Ventures.

About the Role

As an experienced Patient Enterprise Financial Navigator, you will work in a fast-paced, rapidly growing environment where you will be relied on for your expertise, professionalism, and collaboration. We are looking for a dedicated Patient Enterprise Financial Navigator to join our team to coordinate the financial aspects of the patient's care. This role will greatly emphasize customer relations - you must be comfortable interacting, communicating, and working directly with patients.

Responsibilities

• Manage assigned patients for both Managed Care and Employer Benefits financial matters throughout their Fertility Journey.
• Ensures that patients are well educated about the financial and insurance aspects of their care
• Conduct patient financial consultations to review and answer financial policy and requirements questions.
• Verify eligibility and patient responsibility accumulations
• Update patient accounts, including verification of insurance coverage and changes in patient information, with appropriate documentation.
• Manage inbound customer communication (phone and portal) and ensure all messages are answered in a timely fashion.
• Provide self-pay pricing, review financial agreements, and collect cycle pre-payments.
• Review and approve loan payments from outside lending companies
• Determine Major Medical insurance as well as Employer Benefits patient responsibility amounts and collect cycle prepayments
• Patient follow-up to ensure payment of outstanding co-payments, balances, coinsurance, etc.
• Maintain the highest degree of ethics when handling patient payments and bill processing.
• Identify the need for any pre-authorizations
• Review medical records for required information related to authorization requirements.
• Have an understanding of the coverage requirements for each payer
• Submit requests for the precertification team to review authorization requirements
• Communicate to the clinic about pre-authorization requirements and any updates
• Inform patients on any prior authorization approvals or denials and the next step
• Customer Service
• Serve as a Patient Advocate when patients have difficulty navigating with their insurance company.
• Respond to patient calls/correspondence regarding billing questions, financial policies, claims submission
• Respond to a high volume of telephone inquiries positively and professionally.
• Ensure resolution and follow-up on all issues within designated timeframes.
• Maintain positive relationships and clear communication with assigned Provider, Nurse, and Clinic Manager to assist in moving patients through treatment.
• Meet positional metrics and benchmarks.
• Follow all department standard operating procedures carefully and accurately
• Other duties assigned by teammates include direct Manager, Associate Director, and/or Director.

WhoYou Are

• Bachelor’s Degree or Associate’s Degree
• 3+ years of healthcare front reception verification of benefits, prior authorization, and/or financial navigation experience in a fast-paced, customer-focused environment
• Fertility clinic experience is a plus
• A passion for women’s health and fertility is a plus
• Strong written and verbal communication skills & a team player
• Willingness to be flexible, roll with the punches, multi-task, and troubleshoot problems
• Detail-oriented with strong organizational skills
• Exemplifies amazing customer service skills and professionalism
• Experience in insurance verification of benefits and familiarity with medical terminology