Financial Navigator

About Kindbody

Kindbody is a leading fertility clinic network and global family-building benefits provider for employers offering the full-spectrum of reproductive care from preconception to postpartum through menopause. Kindbody is the trusted fertility benefits provider for 127 leading employers, covering more than 2.7 million lives. Many thousands more receive their fertility care directly from Kindbody throughout the country at signature clinics, mobile clinics, and partner clinics. As the fertility benefits provider, technology platform, and direct provider of care, Kindbody delivers a seamless, integrated experience with superior health outcomes at lower cost, making fertility care more affordable and accessible for all. Kindbody has raised $315 million in funding from leading investors.

Founded in 2018, CB Insights recognized Kindbody as one of the world’s promising health companies. Kindbody was named to Inc.’s Best In Business list of most admired companies, Forbes Best Startup Employers, Fast Company’s Brands that Matter,  2023 Linkedin Top 50 Startups list, and Fierce Healthcare named Kindbody to its Fierce 15 list of 2022, which recognizes the most promising healthcare companies in the industry world. Kindbody was named to the 2023 CNBC Disruptor 50 list for revolutionizing the way fertility care is delivered in the U.S.

About the Role-Onsite Patient Navigator

As an experienced onsite Patient 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 Financial Navigator to join our team to coordinate the financial aspects of the patient's care. This role will have a large emphasis on customer relations - you must be comfortable interacting, communicating, and working directly with patients.. 

This role is a full time, onsite role reporting to one of the clinics listed below: San Francisco-88 Sutter St, San Francisco, CA

 

Responsibilities

• Manage assigned patients' 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 questions related to financial policies and requirements
• 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 patient financial information
• Provide self-pay pricing, review financial agreements, and collect cycle pre-payments.
• Review and approve loan payments from outside lending companies
• Determine insurance 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 and submit any pre-authorizations
• Review medical records for required information related to authorization requirements
• Have an understanding of the coverage requirements for each payer
• Submit the medical records to the payer in the manner required by the payer.
• Continued management of all authorizations submitted and ensuring timely response is received from the ins payor
• 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 in a positive and professional manner
• 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 as assigned by teammates include direct Manager, Associate Director, and/or Director.

Who You Are

• Bachelor’s Degree or Associate’s Degree
• 3+ years of healthcare front reception verification of benefits, prior authorization, and/or financial navigat