Eligibility Specialist

Florida Cancer Specialists & Research Institute•Pensacola, FL

22h•Onsite

About The Position

At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional opportunities, career advancement, training and competitive wages. Offering competitive salaries and comprehensive benefits packages to include tuition reimbursement, 401-K match, pet and legal insurance. Since 1984, Florida Cancer Specialists & Research Institute & Research Institute (FCS) has built a national reputation for excellence. With over 250 physicians, 220 nurse practitioners and physician assistants and nearly 100 locations in our network. Utilizing innovative clinical research, cutting-edge technologies, and advanced treatments, we are committed to providing world-class cancer care. We are recognized by the American Society of Clinical Oncology (ASCO) with a national Clinical Trials Participation Award, FCS offers patients access to more clinical trials than any private oncology practice in Florida. Our patients have access to ground-breaking therapies, in a community setting, and may participate in national clinical research studies of drugs and treatment protocols. In the past five years, the majority of new cancer drugs approved for use in U.S. were studied in clinical trials with FCS participation prior to approval. Through our partnership with Sarah Cannon, we are one of the largest clinical research organizations in the United States. Often, FCS leads the nation in initiating research studies and offering ground-breaking new therapies to patients. Come join us today!

Requirements

High school diploma or equivalent required.
Position is entry level and requires zero (0) to two (2) years with front desk, registrations, healthcare benefits or equivalent experience.
Proficiency with computer systems and Microsoft Office (Word and Excel) required.

Responsibilities

Researches and obtain accurate and current insurance coverage information, makes corresponding corrections in the PMS.
May evaluate benefits and eligibility to assess patient financial responsibility.
May coordinates referral from primary care clinic to ensure appropriate authorizations are secured and entered into the PMS.
Identifies uninsured patients and refers to patient benefit representative for coordination of payment.
Communicates system issues and/or payor trends lead or supervisor.
May answer questions and resolve complaints.
Documents conversations with payors in the PMS.
Contacts and follows up with clinic or any missing or incomplete documentation.
Works TES Edits.
Researches and responds to routine account inquiries and takes appropriate action; escalates non-routine issues.
Adheres to confidentiality, state, federal, and HIPAA laws and guidelines with regards to patient’s records and collections.