About The Position

Manages high-dollar outpatient service accounts to ensure accurate financial reimbursement for complex clinical services. Oversees initial and ongoing authorizations for Adult and Pediatric Infusion, High-Tech Radiology, Radiation Oncology, Therapy, and other specialized procedures. Performs referral processing, registration, authorization/precertification, point-of-service collections, Epic posting, and daily cash drawer reconciliation. Provides financial counseling, calculates patient responsibility, and offers cost estimates while ensuring appropriate referrals for financial assistance. Maintains Epic work queues and secures payer approvals by supplying clinical details or coordinating peer-to-peer reviews. Obtains required regulatory signatures and serves as a key financial representative on intra-operational teams, contributing financial insight to support treatment 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.

Responsibilities

  • Manages high-dollar outpatient service accounts to ensure accurate and timely financial reimbursement.
  • Oversees initial and ongoing authorizations for complex services, including Infusion (Adult/Peds), High-Tech Radiology, Radiation Oncology, and Therapy.
  • Performs referral processing, registration, authorization/precertification, and monitors accounts through treatment completion.
  • Handles point-of-service collections, Epic posting, and daily cash drawer reconciliation.
  • Provides financial counseling, calculates patient responsibility, and delivers cost estimates; refers patients to appropriate assistance programs.
  • Monitors and maintains Epic work queues for timely resolution.
  • Secures approvals from third-party payers by supplying clinical details and coordinating peer-to-peer reviews when needed.
  • Obtains required regulatory signatures.
  • Represents the Financial Division on operational teams, providing financial insight to support treatment planning and scheduling decisions.

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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

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