Job Purpose Responsible for insurance verification and eligibility, assessment of patient financial requirements and counseling patients on insurance benefits and co-payments. Obtains pre-authorization of services. Obtains and maintains accurate patient demographics. Serves as a resource to resolve special account issues and balances Working with Oncology team in a Community based Hematology Medical Oncology Practice.
Essential Duties and Responsibilities
Educate patients on Medical insurance plan, benefits and out of pocket expense
Investigate payer specific guidelines for planned treatment
Discuss payment arrangements
Responsible for obtaining referrals and insurance pre-authorization
Ensures all insurance, demographic, and eligibility information is obtained and entered into the system in an accurate manner.
Performs insurance verification process on all third party payers.
Obtains initial and subsequent pre-authorization for services. Re-verifies benefits and obtains authorization and/or referral as necessary.
Performs and documents financial counseling process on all patients prior to treatment, which includes patient financial obligations, billing practices and establishing payment arrangements. Serves as a resource for other financial counselors regarding issues with patient accounts and calculates and documents payment arrangement agreements. May assist with resolving large dollar amounts.
Assists patients in obtaining financial assistance (i.e. Medicaid, drug replacement), outside assistance (i.e. transportation or other community services), and ensures appropriate forms completion.
Demonstrates knowledge of CPT coding and HCPCS coding. Must be able to verbally communicate clearly and utilize the appropriate and correct terminology. The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.
Internal Number: MCKEA00877856
About US Oncology Network
The US Oncology Network believes local cancer care is better care. We empower the delivery of advanced integrated cancer care through our network of independent physicians who share expertise and resources to provide quality, value-based care close to home.
Our clinical and business support capabilities, expertise and industry-leading technologies keep local practices at the forefront of high quality, efficient care delivery while enabling practice success, quality of life and financial security for physicians.
- 25 years of oncology practice management expertise
- Leader in value-based cancer care with over 900 physicians participating in the Center for Medicaid and Medicare
- Innovation Oncology Care Model – one fourth of the entire population of physicians nationwide
- Over 1,400 affiliated physicians
- More than 450 cancer treatment center locations across the United States
- Over 995,000 patients treated annually