Director, Verification of Benefits & Financial Navigation
Kindbody
Location: Remote
Time: 2 months ago
Responsibilities
- Develop and implement policies and procedures for verifying patient insurance benefits, including accurate and timely verification of coverage.
- Train and educate staff on insurance verification procedures.
- Ensure compliance with (pre) certification requirements for various healthcare services with payors.
- Collaborate with physicians, nurses, and other healthcare professionals to gather necessary documentation for certification.
- Monitor and track certification timelines to ensure timely renewal or reauthorization.
- Stay updated on changes in certification requirements and communicate updates to team members.
- Develop and implement strategies to assist patients in navigating the financial aspects of their healthcare.
- Coordinate with financial counselors to provide information and resources on payment options, insurance coverage, and financial assistance programs.
- Collaborate with revenue cycle management teams to optimize reimbursement and minimize denials.
- Stay updated on healthcare billing and reimbursement regulations.
- Recruit, train, and manage a team of benefits verification specialists, pre certification coordinators, and financial navigators.
- Provide guidance and support to staff, ensuring efficient and accurate performance.
- Conduct performance evaluations and provide constructive feedback to team members.
- Foster a positive work environment that promotes teamwork and professional development.
- Develop and maintain reports on key performance indicators (KPI’s) related to benefits verification, certification, and financial navigation.
- Ensure compliance with healthcare regulations, privacy laws, and billing requirements.
- Collaborate with internal auditors and compliance officers to address any identified issues and implement corrective actions.
- Develop automations and provide guidance to Kindbody Technology Team/KindEMR on technology features to improve the verification of benefits, certification of services or financial navigation process
Who You Are
- Bachelor's degree in healthcare administration, business administration, or a related field (Master's degree preferred).
- 7-10 years of experience in healthcare revenue cycle management and patient engagement (verification of benefits, pre-certification, financial navigation)
- Familiarity with certification requirements for various healthcare payor services.
- Strong leadership skills with the ability to effectively manage and motivate a team.
- Excellent communication and interpersonal skills.
- Detail-oriented with strong analytical and problem-solving abilities.
- Proficient in using healthcare software and electronic medical record (EMR) systems.
Perks and Benefits
Kindbody values our employees and wants to do everything to ensure that our employees are happy and professionally fulfilled, but also that they have the opportunity to be healthy. We are committed to providing a number of affordable and valuable health and wellness benefits to our full-time employees, such as paid vacation and sick time; paid time off to vote; medical, dental and vision insurance; FSA + HSA options; Company-paid life insurance; Short Term + Long Term Disability options; Paid Parental Leave (up to 12 weeks fully paid dependent on years of service); 401k plans; monthly guided meditation and two free cycles of IVF/IUI or egg freezing and free egg storage for as long as you are employed.
Additional benefits, such as paid holidays, commuter transit benefits, job training & development opportunities, social events and wellness programming are also available. We are constantly reevaluating our benefits to ensure they meet the needs of our employees.
In an effort to protect our employees and our patients, Kindbody strongly encourages all employees to be fully vaccinated against Covid-19. However, some states are requiring that all healthcare workers be fully vaccinated. Candidates seeking employment at Kindbody in the following states will be required to be fully vaccinated against COVID-19 and provide proof of your COVID-19 vaccine prior to your start date of employment: New York. All other states are exempt from this requirement. If you cannot receive the COVID-19 vaccine because of a qualifying legal reason, you may request an exception to this requirement from the Company. As this is a remote position, the requirement would not apply.
Please note that Kindbody interview requests and job offers only originate from an @ email address. Kindbody will also never ask for bank account information (including routing or account numbers), social security numbers, passwords or any other sensitive information to be delivered over email or phone. Always reference our career site, , to see if the position that you are applying to is legitimate. If you receive a scam issue or a security issue involving Kindbody please notify us at .
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Kindbody is an Equal Employment Opportunity employer. We strongly support the principles of equal employment opportunity in all of our employment and hiring policies and practices and believe that a more diverse and inclusive workplace will benefit our patients, care partners, and Kindbody employees. We administer our employment and hiring policies and practices without regard to race, color, religion, sex, gender, gender identity, gender expression, pregnancy, citizenship, national origin, ancestry, age, disability, medical condition, military service, military or veteran status, genetic information, creed, marital status, sexual orientation, or any other status protected by federal, state, or local law.
