Patient Service Rep - Oncology

Job Description

Job Description

Patient Services Coordinator

Tulsa, OK | $16-$18/HR, DOE | Experience with chemotherapy a plus***

Under general supervision, is responsible for insurance verification and eligibility, assessment of patient financial requirements, counseling patients on insurance benefits and co-payments. Obtains preauthorization of services. Obtains and maintains accurate patient demographics.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Requires competency in a minimum of (2) Modalities of treatment/services rendered in our facility and requiring authorization review (Modalities include: Radiology/Chemotherapy/Radiation/Genetic Testing)
• Ensures all insurance, demographics, and eligibility information obtained is communicated to staff as needed entered into the system in a timely and accurate manner
• Perform insurance verification and benefits using electronic billing system, online portals, and direct dial to insurance carriers
• Performs insurance verification and benefit requirements on all applicable services
• Obtains initial and subsequent preauthorization as required by insurance and enters in the practice management system as needed for flow to billing in addition to scanning hard copy of referral into chart.
• Ensures appropriate signatures are obtained from patients and/or Physicians on all necessary forms.
• Communicate authorization status where applicable to ordering physician, clinical staff and patient
• Utilizes the Summary of Patient Reimbursement and Liability form and Waivers as necessary
• Performs financial counseling process on all patients prior to treatment, which includes patient financial obligations, billing practices and establishing payment arrangements
• Radiation authorizations
• Genetic testing authorizations
• Some face-to-face patient visits
• Some medical authorization experience required

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* Assist patients in obtaining services, understanding policies and making health care decisions.
* Coordinate communication between patients, family members, medical staff, administrative staff, or regulatory agencies.
* Interview patients or their representatives to identify problems relating to care.