Patient Financial Navigator Featured Ventura, CA

CRO Services; California; On-site; USD 40,000 - 65,000; Full time

Job summary

Kaizen Lab Inc. is seeking a Financial Navigator to complete insurance eligibility verifications and to support individualized financial counseling for patients regarding their financial responsibilities during treatment.

The role requires meeting with patients to explain treatment costs, insurance benefits, and patient balances, coordinating documentation for eligibility, collecting co-pays, establishing payment plans, and ensuring accurate record keeping for payors and the organization.

Qualifications

• Bilingual in Spanish required.
• Strong customer service skills with the ability to communicate professionally and compassionately with patients.
• Comfortable discussing patient balances, financial responsibilities, and payment options with patients.
• Ability to explain insurance benefits and out-of-pocket costs in a clear and easy-to-understand manner.
• Medical office or healthcare experience preferred but not required.
• Basic knowledge of medical terminology and insurance terminology.
• Excellent oral and written communication skills.
• Detail-oriented with strong organizational and follow-through skills.
• Basic mathematical skills, including the ability to add, subtract, multiply, and divide using whole numbers, common fractions, and decimals.
• Ability to work independently with limited supervision and meet department productivity standards.

Responsibilities

• Meets with patients to explain cost of treatment, insurance coverage, and patient financial responsibility.
• Coordinates proper insurance verification information/documentation of patient's insurance, to be used to estimate the patient's financial responsibility.
• Responsible for collecting co-pays/deductibles from patients, assisting with establishing effective and timely payment plans.
• Courteously and professionally works with patients to outline financial obligations related to care, and provides options for patients to meet financial requirements, including assessing financial assistance eligibility, determining insurance coverage eligibility, establishing payment arrangements, collecting preservice payments and co-payments as needed.
• Responsible for monitoring and collecting the financial balances owed by our patients during their course of treatment.
• Reviews all payment/financial options to limit risk of non-payment.
• Assist patients with questions regarding billing and insurance payments.
• Assists patients with applying for local grants, foundations, and free drugs to offset the patient responsibility.
• Complete wrap up meetings with patients at the end of treatment to ensure patients adhereto payment obligations.
• This position serves to educate patients regarding their insurance coverage and individual financial responsibility for cancer therapies.
• Completely and accurately document conversations and communication with patients, payors, third party vendors, and any other representative in and outside of the organization.
• Payment postings.

Skills

Bilingual in Spanish

Job description

SUMMARY

The Financial Navigator is responsible for completing all insurance eligibility andverification processes to support individualized financial counseling for eachpatient regarding their financial responsibilities. Financial counselingmeetings will be conducted with all patients within the initial weeks oftreatment. These meetings will result in either payment in full of thepatient's outstanding balance or the establishment of a payment plan inaccordance with company policy.

Performsthe following duties personally and coordinates with team members to ensuresuccessful completion of assigned tasks.

ESSENTIALDUTIES AND RESPONSIBILITIES include the following. Otherduties may be assigned.

Essential Duties:

• Meets with patients toexplain cost of treatment, insurance coverage, and patient financialresponsibility.
• Coordinates properinsurance verification information/documentation of patient's insurance,to be used to estimate the patient's financial responsibility.
• Responsible forcollecting co-pays/deductibles from patients, assisting with establishingeffective and timely payment plans.
• Courteously andprofessionally works with patients to outline financial obligationsrelated to care, and provides options for patients to meet financialrequirements, including assessing financial assistance eligibility,determining insurance coverage eligibility, establishing paymentarrangements, collecting preservice payments and co-payments as needed.
• Responsiblefor monitoring and collecting the financial balances owed by our patientsduring their course of treatment.
• Reviews all payment /financial options (Financial hardships / Charity, Special arrangementoptions, Payments plans, etc.) to limit risk of non-payment.
• Assistspatients with questions regarding billing and insurance payments.
• Assists patients withapplying for local grants, foundations, and free drugs to offset thepatient responsibility.
• Complete wrap upmeetings with patients at the end of treatment to ensure patients adhereto payment obligations.
• This position servesto educate patients regarding their insurance coverage and individualfinancial responsibility for cancer therapies. Further, the position willprovide patients access to financial resources available to them as wellas assistance with the process.
• Completely andaccurately document conversations and communication with patients, payors,third party vendors, and any other representative in and outside of theorganization.
• Payment postings.

This job description in no way states or implies that these are the only duties to be performed by this employee. He or she willbe required to follow any other instructions and to perform any other dutiesrequested by his or her supervisor.

SUPERVISORYRESPONSIBILITIES

Thisjob has no supervisory responsibilities.

QUALIFICATIONS

To perform this job successfully, an individualmust be able to perform each essential duty satisfactorily. The requirementslisted below are representative of the knowledge, skill, and/or abilityrequired. Reasonable accommodations may be made to enable individuals withdisabilities to perform the essential functions.

EDUCATIONand EXPERIENCE

• Bilingual in Spanish required.
• Basic knowledge of medical insurance, eligibility, benefits, and patient financial responsibility.
• Strong customer service skills with the ability to communicate professionally and compassionately with patients.
• Comfortable discussing patient balances, financial responsibilities, and payment options with patients.
• Ability to explain insurance benefits and out-of-pocket costs in a clear and easy-to-understand manner.
• Medical office or healthcare experience preferred but not required.
• Basic knowledge of medical terminology and insurance terminology.
• Excellent oral and written communication skills.
• Detail-oriented with strong organizational and follow-through skills.
• Basic mathematical skills, including the ability to add, subtract, multiply, and divide using whole numbers, common fractions, and decimals.
• Ability to work independently with limited supervision and meet department productivity standards.
• Maintains a positive, professional, and respectful attitude.

Other Requirements:

• Travel as required to other centers