About The Position

Overview FTE: 1.0 Mon-Fri - 8:00 am to 5:00 pm Manages high-dollar outpatient service accounts requiring complex authorization, continuous payer monitoring, and coordination across multiple clinical areas. Oversees referral processing, registration, authorization/precertification, financial counseling, and point-of-service collections within Epic. Ensures accurate reimbursement by securing payer approvals, providing clinical information, and maintaining work queues and cash handling responsibilities. Serves as a key financial resource to operational teams, offering guidance for treatment planning and scheduling decisions.

Requirements

  • High school diploma or equivalent required; college degree or related coursework preferred.
  • Minimum of 1 year of experience as a financial specialist/counselor or 3 years of related experience.
  • Strong working knowledge of medical and insurance industry terminology.
  • Proven ability to multitask, adapt to changing priorities, and make timely, accurate decisions.
  • Effective communication skills with healthcare professionals and ability to work independently with minimal supervision.
  • Proficient in relevant applications and capable of working within multiple computer systems.
  • Exceptional verbal, written, and analytical communication skills.
  • Adaptable, tactful, and able to work well under pressure, including during critical or unusual situations.
  • Must demonstrate professionalism appropriate for a “first impression” role, including proper dress, attitude, and customer service.

Nice To Haves

  • college degree or related coursework preferred.

Responsibilities

  • Manage high-dollar outpatient service accounts to ensure accurate and timely financial reimbursement.
  • Handle services involving complex procedures that require initial authorization and ongoing monitoring for re-authorization, including Adult and Pediatric Infusion, High-Tech Radiology, Radiation Oncology, and Therapy services.
  • Process referrals, complete registration, and secure authorization/pre-certification as required through completion of treatment.
  • Perform Point-of-Service collections and posting within Epic; maintain and balance Epic cash drawer daily.
  • Provide financial counseling, including referral to appropriate assistance resources; calculate patient financial responsibility and provide cost estimates.
  • Monitor and maintain applicable Epic work queues to ensure timely resolution.
  • Obtain approvals from third-party payers by supplying detailed clinical information and coordinating peer-to-peer reviews when necessary.
  • Secure signatures on required regulatory documents.
  • Serve as a Financial Division representative on intra-operational teams, offering financial insight to support treatment planning and rescheduling decisions.

Stand Out From the Crowd

Upload your resume and get instant feedback on how well it matches this job.

Upload and Match Resume

What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service