Patient Access Analyst, Oncology

HMH Hospitals Corp • Hackensack, NJ

91d

About The Position

The Patient Access Analyst, Oncology provides assistance to patients, Physicians, caregivers in all areas of Oncology /Radiation Oncology services in the HMH Health care system. This pertains to Prior Authorization for Oncology services, as well as various specialized services ordered by clinical caregivers which may require prior approvals to avoid loss of revenue for both professional and facility services and surprise out of pocket costs. This position is responsible for coordinating all the functions and activities related to patient precertification/authorization for Chemotherapy, Radiation, and Diagnostic Imaging associated with a patient's plan of treatment. This includes but is not limited to: accurate and complete patient registration in the approved organization electronic scheduling and billing systems and on-site insurance verification while being able to navigate the various Insurance portals where clinical data is submitted to substantiate the request for prior approvals for oncology services.

Requirements

• Associate's degree and/or related work experience.
• Minimum of 3 years of experience in a hospital setting or medical/clinical office.
• Prior experience with an electronic health record system (especially EPIC clinical or ARIA) preferred.
• Demonstrated knowledge of medical terminology, preferably in Oncology.
• Prior experience in analyzing NCCN, FDA, and CMS guidelines for cancer diagnosis.
• Effective oral and written communication skills.
• Ability to deal effectively and professionally with various individuals in oncology settings.
• Ability to perform in a high-pressure environment.
• Customer Service Oriented.
• Proficient computer skills including Microsoft Office and/or Google Suite platforms.
• Ability to work every other weekend.
• Ability to work three (3) out of six (6) holidays.
• Ability to work rotating schedules/shifts based on needs.

Nice To Haves

• Bachelor's Degree and/or related experience.
• Excellent Analytical, written and verbal communication, and interpersonal skills.
• Proficient medical terminology knowledge.
• Knowledge of insurance specifications, ICD10 and CPT4 codes.
• Bilingual (i.e. Spanish or Korean).
• Experience with EPIC HB, Cadence, and Prelude.

Responsibilities

• Assist patients, Physicians, and caregivers in Oncology/Radiation Oncology services.
• Coordinate functions and activities related to patient precertification/authorization for Chemotherapy, Radiation, and Diagnostic Imaging.
• Ensure accurate and complete patient registration in electronic scheduling and billing systems.
• Perform on-site insurance verification.
• Navigate various Insurance portals for clinical data submission.

What This Job Offers

• Education Level: Associate degree