Financial Advocate
About The Position
To obtain insurance coverage for chemotherapy, radiation, labs, PET, DEXA and CT scans by making sure insurance coverage for the patient is active. Obtain pre-authorization for all medications and injections as needed for final payment. To check benefits for coverage-note any findings out of the ordinary. Essential Duties and Responsibilities may include the following. Other duties may be assigned and/or delegated. Relays financial information/policies re: co-pays to new patients, plus policy for procedures. Assures pre-certification is obtained for treatment, lab, CT, PET, chemo and radiation. Assures active coverage for insurance from the patient. Gathers benefit information by calling insurance companies to assure benefits meet guidelines. Reports to other billing employees the pertinent information and documents in computer. Inputs new patient insurance information into Epic. Checks schedule for treatment pre-authorization and notifies chemo RN’s of treatment that needs specific information to complete pre-cert. Document all pertinent information in computer, referral shells, and financial information.
Requirements
- High School Diploma or equivalent.
- Prior experience working in a front office position in a physician clinic setting.
- General applied knowledge of medical terminology, CPT4, ICDCM, HCPCS, Medicare, Medicaid and insurance guidelines.
- Strong knowledge of customer service skills.
- Ability to communicate effectively and diplomatically within a multi-functional team.
- Strong organizational skills and attention to detail.
- Ability to successfully function in a fast paced, service oriented environment.
- Experience in understanding and usage of computers as well as the ability to learn applications relevant to the position.
Nice To Haves
- Minimum of three years experience in a front office position in a physician clinic setting.
- Strong experience with EPIC.
Responsibilities
- Obtain insurance coverage for chemotherapy, radiation, labs, PET, DEXA and CT scans by making sure insurance coverage for the patient is active.
- Obtain pre-authorization for all medications and injections as needed for final payment.
- Check benefits for coverage and note any findings out of the ordinary.
- Relay financial information/policies regarding co-pays to new patients, plus policy for procedures.
- Assure pre-certification is obtained for treatment, lab, CT, PET, chemo and radiation.
- Assure active coverage for insurance from the patient.
- Gather benefit information by calling insurance companies to assure benefits meet guidelines.
- Report pertinent information to other billing employees and document in the computer.
- Input new patient insurance information into Epic.
- Check schedule for treatment pre-authorization and notify chemo RN’s of treatment that needs specific information to complete pre-cert.
- Document all pertinent information in computer, referral shells, and financial information.
Benefits
- Generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
- Up-front tuition coverage paid directly to the academic institution through the PEAK program.
- 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates, available through the PEAK program.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
