Patient Access Coordinator - Cancer Center (Full-Time Days) - Jefferson-Einstein Philadelphia

Prior Authorization Coordinator

Primary responsibility is to obtain prior authorization from insurance companies for patients receiving chemotherapy. This includes electronically accessing insurance company website portals and/or contacting via telephone or fax to request prior authorization. Ensuring appropriate ICD10 codes are associated with the patients EMR prior to these prior authorization requests. Communicating with treatment team (nurses/doctors/manager) on prior authorization status. Appropriate documentation of denied/approval authorizations. Verifies patient demographic and insurance information in RCX and Cerner billing systems. Batches all IC10 and CPT's for outpatient billing documentation. Enters charge batches into RCX rules and Cemer billing systems in a timely fashion. Reconciles batch totals, logs and files. Denial management for all authorization rejected claims.

Education/Training/Experience: (indicate if required or preferred)

• High School Diploma required.
• At least one year billing experience required with knowledge of CPT and ICD10 coding, patient registration and third party insurances.
• Experience with RCX rules, Cerner Registration, iPAS, Cerner and RCX charge entry and payment posting functions preferred. Knowledge of Artiva Denial Management preferred. Knowledge of Chemotherapy drugs preferred.

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Albert Einstein Medical Center

Primary Location Address

5501 Old York Road, Philadelphia, Pennsylvania, United States of America

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.