Oncology Care Specialist

Trinity Health Corporation•Pontiac, MI

62d

About The Position

The Oncology Care specialists coordinate with regional call center specialists, nurse navigators, physicians, and other health care professionals to provide critical support functions to assure a remarkable and efficient experience in the Care Coordinating Center (CCC) which serves as the single point of entry for all new patients of the cancer programs (including high risk breast, lung nodule, lung cancer screening, Genetic Counselor programs and other support services). Care Specialists, provide non-licensed support to Nurse Navigators and act as a team to triage patient-specific information to coordinating care and accurately determine the nature of appointments necessary. Will independently schedule, obtain necessary insurance verification and authorizations and confirm patient appointments, including clear instructions to patients for a wide variety of services including, but not limited to Radiology, IHA specialists, Radiation Oncology, Cancer Care Specialty Center, Gynecologic Oncology. Serves as lead to triage all phone calls coming into the Care Coordinating Center. Also acts as a resource to any patient/family/physician calling for assistance.

Requirements

High school diploma or equivalent required.
3-5 years of experience in a medical or physician office or comparable healthcare environment required.

Nice To Haves

Associates degree or some college courses preferred.

Responsibilities

Provide optimal level of customer services and maintain professionalism to resolve all customer issues and provide all information on patient services available in the cancer program.
Always provide exceptional customer services and maintain courtesy and professional at all times and assisting with a wide variety of situations and special request of patients and referring physicians.
Serving as a direct contact and resource to the patients/family's providing emotional support and education.
Prepare patients for appointments, providing information in a clear understandable manner and providing written follow-up in the manner patient prefers (texting, email, mail)
Manages flow of patient new patient materials
Demonstrate excellent critical thinking skills as they interview patients and gathers information to assure accurate and timely assessment and intake into program, entering information into all computer systems necessary.
Collects complete and accurate financial and insurance information to performs accurate registration and insurance verification, obtaining required authorizations as indicated.
Provides information to patients concerning hospital and IHA policies and regulatory requirements utilizing effective interpersonal and guest-relations skills.
Reviews, analyzes, and corrects report entries to ensure accurate scheduling and registration, and makes assures financial clearance is obtained prior to services being rendered.
Verifies insurance coverage using Real Time Eligibility system tool for all scheduled services to facilitate accurate assignment of financial responsibility and claims submission.
Responds to problems and questions from Clinical Departments or PFS Teams.
Demonstrates understanding of prevailing regulatory and 3rd party requirements (MSP, authorization requirements, medical necessity screening, etc.). Determines need for authorization for treatment/procedures and coordination of benefits as required.
Identifies opportunities to improve the quality of coordination of care, scheduling, registration and/or verification processes.
Demonstrates accountability to follow-up with patients concerning requests for information of action regarding their appointment and/or care coordination.