Patient Reimbursement Specialist - FT - Days - Cancer Clinic @ MV

Patient Reimbursement Specialist

El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community: One built on compassion, innovation, collaboration and delivering high-quality care. Come join the team that makes this happen.

Applicants MUST apply for position(s) by submitting a separate application for each individual job posting number they are interested in being considered for.

FTE: 1

Scheduled Bi-Weekly Hours: 80

Work Shift: Day: 8 hours

Job Description: The Patient Reimbursement Specialist is a member of the multidisciplinary team charged with the responsibility of providing accurate and professional financial clearance to patients seeking therapeutic services, treatments and diagnostic tests ordered as part of their treatment plan. The Specialist mitigates the financial risk by performing an accurate financial clearance review. The Specialist interviews and collects patient financial, clinical and demographic information, updates the medical and financial records, completes a comprehensive analysis of the patient and payor specific benefits and the patient liability and obtains all necessary authorizations. Coordination and communication with the patient, clinical team including the physicians, nurses, social workers and pharmacists is key to the success of reducing financial risk.

Qualifications: Bachelor's degree, preferred. Healthcare experience with a minimum of five years 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 highly intense and complex situations. Strong verbal and written communication skills including the ability to communicate with sensitivity with all customers, anticipating and striving to reduce levels of stress, fear, concerns and difficulties related to cancer treatments. Excellent financial counseling skills, preferred. Ability to analyze data and benefit information. Ability to calculate patient estimates and liabilities/responsibilities. Knowledge of Microsoft Office. Knowledge of medical terminology. Ability to apply specific departmental policies, rules, and regulations related to verifying patient information, collecting payments and maintaining records and forms. Salary Range: $38.73 - $58.09 USD Hour.

The Physical Requirements and Working Conditions of this job are available. El Camino Health will provide reasonable accommodations to qualified individuals with a disability if that will allow them to perform the essential functions of a job unless doing so creates an undue hardship for the hospital, or causes a direct threat to these individuals or others in the workplace which cannot be eliminated by reasonable accommodation. Sedentary Work - Duties performed mostly while sitting; walking and standing at times. Occasionally lift or carry up to 10 lbs. Uses hands and fingers - (Physical Requirements-United States of America).

An Equal Opportunity Employer: El Camino Health seeks and values a diverse workforce. The organization is an equal opportunity employer and makes employment decisions on the basis of qualifications and competencies. El Camino Health prohibits discrimination in employment based on race, ancestry, national origin, color, sex, sexual orientation, gender identity, religion, disability, marital status, age, medical condition or any other status protected by law. In addition to state and federal law, El Camino Health also follows all applicable fair and equitable employment policies from the County of Santa Clara.