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About the role
Key responsibilities & impact- 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
Requirements
What you’ll need- 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
- 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)
Benefits
Comp & perks- Competitive Compensation ($24.50/Hr to $29.00/Hr)
ATS Keywords
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Hard Skills & Tools
medical billinginsurance verificationfinancial counselinginsurance eligibility verificationbilling softwaredurable medical equipment (DME) billing practicespayment plansdocumentationHIPAA compliancekey metrics tracking
Soft Skills
communication skillsempathyprofessionalismattention to detailorganizational skills
Certifications
Certified Patient Account Representative (CPAR)