Cancer Insurance Specialist, Full Time - Days

Job Description

Be a part of a world-class academic healthcare system, Uchicago Medicine , as a Cancer Insurance Specialist in the Finance department. This position will be primarily a work from home opportunity with the requirement to come onsite as needed. You may be based outside of the greater Chicagoland area. This is a 3 year grant-funded position.


The Cancer Insurance Specialist will be responsible for pre-registration, insurance verification and payor authorizations of inpatients and outpatients, and educating patients about their financial responsibilities and resources.


Essential Job Functions

• Works with patient and families and collaborates with members of the clinical and administrative team, including Patient Access and Call Center teams, from the point of initial referral through clinical evaluation, and continuing through active treatment and for follow-up visits.
• Routinely interacts with the insurance companies to ensure proper payments for all cancer-related services, and serves as an advocate for the patient when billing problems occur
• Advises patients of anticipated costs
• Works with health insurance providers to determine coverage, benefit limits, and financial responsibility.
• Uses the patients' electronic health record to both access and document information which supports authorization, therefore, ensuring a systematic approach to sharing critical information.
• Networks with other pre-certification/insurance employees across UCM's billing entities to stay abreast of and share recent changes, updates, and processes.
• Provides complete information to the Single Case Agreement Team on initial request in an effort to facilitate a standardized and systematic process for non-par insurance plans.
• Maintains and develops clear lines of communication with insurance representatives from multiple insurance companies who can provide pre-certification/authorization guidelines unique to their company. Must be able to effectively manage work across departments, work independently with minimal supervision, and participate in administrative decisions.
• Strong communication skills, attention to detail, problem solving, and a high degree of organization are critical qualities.

Required Qualifications

• Bachelor's degree, or equivalent, and/or two (2) years' experience working in medical insurance verification and/or other healthcare finance areas.
• Minimum of five (5) years related healthcare registration, billing and/or reimbursement experience required.
• Advanced insurance authorization and registration techniques.
• Website Insurance Training (Navinet, WebMD, Passport)
• EPIC training & testing (Prelude/Cadence)
• Registration Essentials
• Windows-based PC experience
• Resource scheduling experience preferred (e.g. ancillary testing)
• Previous experience in complex clinical setting that required coordination of multiple services
• Utilization of Hospital revenue systems
• Background in medical terminology; (Oncology) experience

Skills

• Ability to schedule and register patients rapidly and accurately
• Ability to interact professionally with patients, physicians, insurance companies, and other member of Hospital staff
• Strong communication skills and must be able to communicate courteously and effectively with physicians, payors, and staff
• Must be a self-motivated
• Individual must be highly organized and dependable, and able to work with minimum of supervision
• Ability to prioritize and work on several projects at once while maintaining communication with all invested parties
• Ability to complete multiple tasks and work under pressure and in stressful situations
• Ability to quickly learn new procedures
• Ability to display compassion and empathy and maintain confidentiality of patient information

Position Details

• Job Type/FTE: 1.00 FTE
• Shift: Days Monday-Friday (No Weekends) 8:00am-5:00pm (Flexible start time) - Rotation, Hyde Park
• Unit/Department: Finance
• CBA Code: Non-Union

About Us

We've been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, we need employees with passion, talent and commitment... with patients and with each other. We're in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you'd like to add enriching human life to your profile, UChicago Medicine is for you. Here at the forefront, we're doing work that really matters. Join us. Bring your passion.

UChicago Medicine is growing; discover how you can be a part of this pursuit of excellence at: UChicago Medicine Career Opportunities

UChicago Medicine is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics.

As a condition of employment, all employees are required to complete a pre-employment physical, background check, drug screening, and comply with the flu vaccination requirements prior to hire. Medical and religious exemptions will be considered for flu vaccination consistent with applicable law.

Compensation & Benefits Overview

UChicago Medicine is committed to transparency in compensation and benefits. The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position.

The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of current market data, reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union.

Review the full complement of benefit options for eligible roles at Benefits - UChicago Medicine.