Patient Reimbursement Specialist - FT - Days - Cancer Clinic @ MV
About The Position
The Patient Reimbursement Specialist is part of a multidisciplinary team and provides accurate, professional financial clearance for patients seeking therapeutic services, treatments, and diagnostic tests ordered as part of their treatment plans. The specialist mitigates financial risk by conducting financial clearance reviews; interviewing patients and collecting financial, clinical, and demographic information; updating medical and financial records; analyzing patient- and payer-specific benefits and patient liability; and obtaining necessary authorizations. Successful performance requires coordinating and communicating with patients and the clinical team, including physicians, nurses, social workers, and pharmacists.
Requirements
- At least five years of healthcare experience in insurance verification, authorization, and billing.
- Clinical background relevant to oncology and medical policy, with experience in 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 preferred.
- Excellent financial counseling skills preferred.
Responsibilities
- Provide accurate and professional financial clearance for patients seeking therapeutic services, treatments, and diagnostic tests.
- Conduct financial clearance reviews to mitigate financial risk.
- Interview patients and collect financial, clinical, and demographic information.
- Update medical and financial records.
- Analyze patient- and payer-specific benefits and patient liability.
- Obtain necessary authorizations.
- Coordinate and communicate with patients and the clinical team, including physicians, nurses, social workers, and pharmacists.
- Calculate patient estimates and liabilities or responsibilities.
- Apply departmental policies, rules, and regulations related to verifying patient information, collecting payments, and maintaining records and forms.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
