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Financial Navigator

Details

TailorMed is a technology startup on a mission to make healthcare more accessible and affordable for U.S. patients. To solve such a complex challenge, it takes a village, or as we say at TailorMed, a network! We’ve built the nation’s largest network of providers, pharmacies, partners, and life sciences companies who have joined us in making treatment affordable for all patients across all medical conditions.

The TailorMed network is powered by a suite of advanced solutions designed to proactively identify patients who need help the most, match them to all available financial resources, and most importantly, make it easy for patients to utilize those resources.

This is what we mean by “moving mountains for patients” and we’re ridiculously passionate about it.

 

The Financial Navigator helps improve financial outcomes for patients by using our platform to evaluate patients for available assistance, including federal and state subsidies or programs, disease-specific assistance programs, patient assistance programs, and local community resources.  This role is a member of the TailorMed Complete team and serves as an extension of our customer’s internal teams.

Responsibilities

  • Be the face of TailorMed to our customers and patients. Live, demonstrate and grow our company values 
  • Conduct virtual consultations with patients and gather information to support applications
  • Complete applications on patients’ behalf and track status until a determination is made, maintaining communication with the patient
  • Collaborate with providers to ensure the smooth running of the service 
  • Escalate issues internally and with the client if needed, to ensure swift resolution
  • Act as a super-user for the TailorMed platform, identifying enhancements to improve user experience and patient outcomes
  • Maintain confidentiality and HIPAA compliance 
  • Meet productivity and quality standards
  • Lead with compassion and act with confidence

Requirements

  • 2-5 years’ experience in a financial navigator/financial advocate role
  • Prior start-up, healthcare, or corporate experience 
  • Knowledge of healthcare industry
  • Knowledge of insurances including Medicare/Medicaid and commercial insurance
  • Experience submitting claims to copay/manufacturer programs
  • Experience delivering client-focused solutions to customer needs
  • Bachelor’s degree or equivalent career experience 
  • Knowledge of health insurance rules/regulations 
  • Knowledge of medical terminology, ICD 10, and HCPC codes
  • Positive attitude, empathy, and high energy
  • Superb written and communication skills
  • High level of initiative and ability to work independently
  • Ability to effectively and empathetically communicate with newly diagnosed applicants
  • Ability to work in a high volume caseload environment and deal effectively with rapidly changing priorities
  • Desire to be involved in building this function and to be a valued member of a growing team
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