Oncology Services Specialist | Infusion Center | Full-Time | Days

UF Health•Gainesville, FL

3d•Onsite

About The Position

The incumbent coordinates comprehensive services for oncology patients receiving care through the Infusion Suite and Hematology/Oncology Clinic. Responsibilities include patient scheduling, referral processing, insurance verification, prior authorizations, financial counseling, program enrollment, and ensuring effective communication among patients, providers, payers, and referring physicians.

Requirements

High school diploma or equivalent required.
Minimum of two (2) years of experience in a financial, medical office, or physician practice setting required, preferably involving patient accounts, billing, collections, or financial counseling.
Knowledge of medical terminology, insurance verification, prior authorization processes, and financial counseling.
Experience working with electronic health record systems, preferably EPIC.
Strong organizational, communication, and customer service skills.
Ability to manage multiple priorities in a fast-paced healthcare environment.
Ability to work independently while collaborating effectively with multidisciplinary teams.
Strong communication, organizational, customer service, and problem-solving skills are required.
Ability to effectively counsel patients regarding financial responsibilities and collect payments in a professional and compassionate manner.
Demonstrated ability to multitask, prioritize responsibilities, work independently, and collaborate effectively within a team environment.
Proven ability to analyze issues, resolve problems, and contribute positively to team goals.

Nice To Haves

Knowledge of CPT and ICD-9/ICD-10 coding is preferred.
A bachelor's degree may substitute for up to two (2) years of the required experience.
Experience with the IDX system is preferred.

Responsibilities

Coordinate and schedule appointments for oncology patients, including infusion treatments, clinic visits, radiation oncology services, and related procedures.
Answer and triage calls for the Infusion Suite and Hematology/Oncology Clinic.
Process patient orders in the EPIC electronic health record system.
Obtain and secure prior authorizations for same-day and next-day procedures and services.
Verify insurance coverage, benefits, and eligibility; obtain pre-certifications and authorizations as required.
Review patient accounts to ensure appropriate financial documentation, authorization approvals, and account notes are completed and maintained.
Complete Medicare Secondary Payer (MSP) documentation and re-verify Medicaid and financial information as required.
Receive and process referrals from Hematology/Oncology providers, clinical trial staff, and other specialty services.
Verify all required referral documentation, including physician orders, consents, and supporting clinical information.
Perform medical necessity and financial clearance reviews for infusion services.
Coordinate with pharmacy, social work, home health agencies, and other support services to facilitate patient care.
Assist patients with enrollment in manufacturer-sponsored drug assistance programs and other financial assistance resources.
Assemble and maintain new patient records and work collaboratively with providers and nursing staff to prevent treatment delays.
Provide financial counseling, communicate cost estimates, collect prepayments, establish payment plans, and assist uninsured patients with sponsorship and assistance programs.
Maintain accurate demographic and financial information within the health system.
Manage Infusion Center scheduling to optimize resource utilization, prioritize patient needs, and support efficient operations.
Serve as a key liaison among physicians, patients, nurses, payers, and ancillary departments to ensure seamless coordination of care.
May be required to provide coverage and support in other clinics as needed.