What are the responsibilities and job description for the Patient Advocate / Oncology Financial Navigator position at Symbiotic Services?
Patient
Advocate / Oncology Financial Navigator
Presented by
Symbiotic Services, LLC
Position
Overview
Symbiotic
Services is seeking a compassionate, detail-oriented, and resourceful Patient
Advocate / Oncology Financial Navigator for a confidential client in the
specialty healthcare industry in the Atlanta, GA area.
This position
plays a critical role in helping patients access essential medical treatments
by coordinating medication prior authorizations, identifying financial
assistance opportunities, and resolving insurance-related barriers to care.
The ideal
candidate has experience navigating specialty medication authorizations,
insurance requirements, and patient assistance programs, along with a strong
commitment to supporting patients and families facing complex medical
challenges.
This is an
on-site, temporary-to-permanent opportunity for a motivated healthcare
professional who thrives in a fast-paced environment and takes ownership of
patient financial navigation and authorization processes.
Key
Responsibilities
- Obtain, process, and track prior authorizations for
specialty medications, including oncology treatments, intravenous (IV)
medications, infusion therapies, and supportive-care drugs.
- Manage authorization requests from initial
submission through approval, denial resolution, reconsideration, or
appeal.
- Gather and review clinical documentation, diagnosis
information, medication details, and other supporting materials required
by insurance carriers.
- Communicate directly with commercial insurance
companies, Medicare, Medicaid, and other payers to resolve authorization
issues and expedite approvals.
- Identify financial assistance opportunities through
pharmaceutical manufacturer programs, copay assistance programs,
charitable foundations, and patient assistance programs (PAPs).
- Assist eligible patients with enrollment
applications, documentation requirements, renewals, and ongoing
participation in financial assistance programs.
- Research available assistance resources for
nonmedical financial needs, including insurance premiums, housing
expenses, utilities, and other qualifying financial burdens.
- Serve as a compassionate and knowledgeable point of
contact for patients and families regarding insurance coverage,
out-of-pocket expenses, treatment-related financial concerns, and
available support programs.
- Coordinate with scheduling teams to ensure approved
medications and treatments can be scheduled promptly.
- Maintain accurate documentation of prior
authorizations, financial assistance applications, approvals, renewals,
expiration dates, and patient communications.
- Monitor pending authorizations and assistance
applications to prevent treatment delays or interruptions.
- Collaborate with insurance verification, billing,
clinical, and administrative teams to resolve coverage discrepancies and
prevent avoidable claim denials.
- Identify opportunities to streamline authorization
workflows, improve patient communication, and strengthen financial
assistance processes.
- Maintain patient confidentiality and comply with
applicable healthcare privacy requirements.
Requirements
Required
Qualifications
- Previous experience obtaining prior authorizations
for specialty medications, oncology treatments, infusion therapies, or
comparable specialty pharmacy and medical office services.
- Working knowledge of commercial insurance,
Medicare, and Medicaid prior authorization requirements and approval
processes.
- Familiarity with specialty medication coverage,
insurance benefits, and reimbursement procedures.
- Experience communicating with insurance carriers,
healthcare providers, and patients to resolve authorization or coverage
issues.
- Strong organizational skills and the ability to
manage multiple authorization requests and financial assistance cases
simultaneously.
- Excellent follow-through, persistence, and
problem-solving abilities when working with insurance companies and
assistance programs.
- Ability to work efficiently and accurately in a
high-volume healthcare environment.
- Strong written and verbal communication skills.
- Demonstrated empathy, patience, and professionalism
when assisting patients and families facing serious medical diagnoses.
- Ability to work independently, prioritize urgent
requests, and maintain accurate documentation.
Preferred
Qualifications
- Certified Pharmacy Technician (CPhT) credential.
- Previous experience in oncology, hematology,
infusion services, specialty pharmacy, or other complex specialty
healthcare settings.
- Experience coordinating pharmaceutical manufacturer
patient assistance programs, copay assistance, and charitable foundation
grants.
- Familiarity with oncology medication authorization
processes and specialty drug reimbursement requirements.
- Experience using athenahealth or comparable
electronic health record (EHR) and practice management systems.
- Knowledge of patient financial counseling,
insurance benefits coordination, and healthcare reimbursement processes.
- Experience supporting patients with complex
financial assistance needs and treatment access challenges.
Ideal
Candidate Profile
The successful
candidate will demonstrate:
- Compassion and Patient Advocacy: Approaches
every patient interaction with empathy, professionalism, and a commitment
to helping individuals access necessary care.
- Initiative and Ownership: Proactively
identifies authorization and financial assistance needs and follows cases
through to resolution.
- Persistence and Resourcefulness: Effectively
navigates insurance requirements, assistance programs, and administrative
challenges to identify practical solutions.
- Attention to Detail: Maintains accurate
records and carefully monitors authorization statuses, application
deadlines, and program renewals.
- Adaptability: Thrives in a dynamic
healthcare environment where priorities, payer requirements, and workflows
may change.
- Efficiency and Organization: Manages
high-volume responsibilities while maintaining accuracy and timely
follow-up.
- Communication and Collaboration: Works
effectively with patients, families, insurance representatives, clinical
teams, and administrative staff.
- Commitment to Patient Care: Understands the
importance of reducing financial barriers and minimizing delays in medical
treatment.
Work
Environment
- On-site position in the Atlanta, GA area.
- Fast-paced specialty healthcare practice
environment.
- Regular interaction with patients, families,
clinical professionals, scheduling teams, insurance representatives, and
administrative staff.
- High-volume prior authorization and patient
financial assistance responsibilities requiring accuracy, efficiency, and
compassionate communication.
- Standard business hours; specific schedule to be
confirmed.
Compensation
& Benefits
- Employment Type: Temporary-to-Permanent.
- Temporary Assignment Duration: To be
confirmed.
- Permanent Placement Potential: Opportunity
to transition into a permanent position based on business needs and
performance.
- Benefits: Details to be provided during the
recruitment process.
Apply Today
Symbiotic
Services is actively seeking qualified Patient Advocates, Oncology Financial
Navigators, and Prior Authorization Specialists who are passionate about
helping patients overcome insurance and financial barriers to medical
treatment.
If you have
experience securing specialty medication authorizations, coordinating patient
assistance programs, and supporting patients through complex healthcare
financial processes, we encourage you to apply.
Symbiotic
Services is recruiting on behalf of a confidential client. Compensation,
assignment duration, permanent placement potential, benefits, and other
employment details are subject to final confirmation.