Insurance Specialist

Description California Protons Cancer Therapy Center is a facility that provides state-of-the-art cancer treatments to patients with varying diagnoses that travel here from all over the world. With our world-renowned Radiation Oncologists, highly trained Registered Nurses, Medical Physicists, Dosimetrists, Radiation Therapists and everyone in between, our team of professionals work collaboratively to bring hope and healing to even the most aggressive cancer cases. If joining a dynamic team whose passion is to help people return to their life as they once knew it sounds exciting, California Protons Cancer Therapy Center may be the place for you. Reports to: Business Operations Supervisor Classification: Non-Exempt Salary Range: $27.00-33.00/hour DOE (Anticipated hiring range: $27.00-29.00/hour) Summary The Insurance Specialist is responsible for the intake and appeals process as well as interacting with the clinical staff, physicians, patients, and their families. In this role, the Insurance Specialist observes superior customer service and extreme confidential nature of the patient and the organizational business. Key Responsibilities Obtain and verify insurance eligibility for services provided and document complete information in system accurately. Perform prior authorizations as required by payer source, including procurement of needed documentation by collaborating with physician offices and insurance companies. Providing insurance patients clinical information such as labs, diagnosis codes, ICD-10. Determine patient’s financial responsibilities as stated by insurance. Provide self pay estimates for services and payment arrangements, including collecting payments from patients and/or family members. Configure coordination of benefits information on every referral. Document all pertinent communication with patient, physician, insurance company as it may relate to collection procedures. Handle inbound calls from patients, physician offices, and/or insurance companies. Coordinate denials and appeal correspondence. Additional duties or tasks as needed and assigned to support the center. Requirements Required Skills Perform Administrative requirements such as completing necessary forms, reports, etc. Conducts self with professional decorum at all times and with all persons in the facility. Follows established Infection Control policies and procedures. Possesses the ability to make independent decisions when circumstances warrant such action. Maintains compliance with all HIPAA regulations. Ability to accept assigned duties in a cooperative manner. Absolute and complete professionalism and confidentiality continually maintained. Flexibility and adaptability. Must possess exceptional organizational and communication skills. Working knowledge of office machines, such as copiers, scanners, faxes, phone systems, etc. Must have excellent attention to detail. Must attend and participate in all mandatory in-services. Qualifications / Experience / Education Must have at a minimum of 5 years experience in a Financial Intake/Insurance capacity within a healthcare provider setting. Radiation Oncology experience preferred. Excellent MS Office and Computer skills with EMR preferred. High School Diploma, Bachelor’s Degree is preferred. California Protons Cancer Therapy Center is following all federal and state mandates. We do have a strongly encouraged COVID-19 Vaccination policy in place for all staff. California Protons Cancer Therapy Center is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, creed, national origin, sex, age, disability, genetic information, status as a protected veteran, or any other legally protected status under local, state, or federal law. #J-18808-Ljbffr California Protons