Patient Reimbursement Specialist - FT - Days - Cancer Clinic @ MV
About The Position
The Patient Reimbursement Specialist is part of a multidisciplinary team responsible for providing accurate, professional financial clearance for patients seeking therapeutic services, treatments, and diagnostic tests ordered as part of their treatment plans. The role helps mitigate financial risk through accurate financial clearance reviews. The Specialist interviews patients and collects financial, clinical, and demographic information; updates medical and financial records; analyzes patient- and payor-specific benefits and patient liability; and obtains required authorizations. Coordination and communication with patients and the clinical team—including physicians, nurses, social workers, and pharmacists—are important to reducing financial risk.
Requirements
- At least five years of healthcare experience in insurance verification, authorization, and billing.
- Clinical background relevant to oncology and medical policy.
- Experience with cancer care and treatments.
- Ability to maintain a positive and professional demeanor in intense and complex situations.
- Strong verbal and written communication skills, including communicating sensitively with customers and working to reduce stress, fear, concerns, and difficulties related to cancer treatments.
- Ability to analyze data and benefit information.
- Ability to calculate patient estimates and liabilities or responsibilities.
- Knowledge of Microsoft Office.
- Knowledge of medical terminology.
- Ability to apply departmental policies, rules, and regulations related to verifying patient information, collecting payments, and maintaining records and forms.
Nice To Haves
- Bachelor’s degree.
- Excellent financial counseling skills.
Responsibilities
- Interview patients and collect financial, clinical, and demographic information.
- Update medical and financial records.
- Analyze patient- and payor-specific benefits and patient liability.
- Obtain necessary authorizations.
- Coordinate and communicate with patients and the clinical team, including physicians, nurses, social workers, and pharmacists.
- Provide accurate and professional financial clearance for therapeutic services, treatments, and diagnostic tests.
- Mitigate financial risk by performing accurate financial clearance reviews.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
