APC Resource Coordinator

Job Description

Job Description

Description:

GENERAL SUMMARY

The APC Resource Coordinator serves in a clerical role and is responsible for verifying patient eligibility,

coordinating benefits, managing funding, and facilitating insurance coverage, as well as addressing patients' concerns regarding authorization and turnaround timeframe.

ESSENTIAL JOB FUNCTION/COMPETENCIES

Responsibilities include but are not limited to:

• Obtains authorizations for medications and treatments involving advanced stages of cancer.
• Calculates patient payment amount due for specialty drugs and infusion treatments.
• Researches foundations to assist patients experiencing financial hardships.
• Communicates with patients, nurses, and drug representatives daily.
• Keeps up to date with pharmacy benefits and treatments available for advanced cancers.
• Assists in resolving issues for dispensing sites.
• Monitors foundation and manufacturer assistance programs to assure patients stay ""active"".
• Maintains daily follow up with outside organizations to ensure patient treatment is uninterrupted or started in a timely manner.
• Escalates issues to management.
• Performs other position related duties as assigned.
• Employees shall adhere to high standards of ethical conduct and will comply with and assist in complying with all applicable laws and regulations. This will include and not be limited to following the Solaris Health Code of Conduct and all Solaris Health and Affiliated Practice policies and procedures; maintaining the confidentiality of patients' protected health information in compliance with the Health Insurance Portability and Accountability Act (HIPAA); immediately reporting any suspected concerns and/or violations to a supervisor and/or the Compliance Department; and the timely completion the Annual Compliance Training.

CERTIFICATIONS, LICENSURES OR REGISTRY REQUIREMENTS

• N/A

KNOWLEDGE | SKILLS | ABILITIES

• Excellent verbal and written communication skills.
• Excellent organizational skills and attention to detail.
• Ability to build relationships with patients and display empathy and compassion to patients.
• Skill in using computer programs and applications including Microsoft Office.
• Knowledge in healthcare systems operations such as EMR.
• Ability to work independently and manage deadlines.
• Knowledge of Medical Insurances.
• Complies with HIPAA regulations for patient confidentiality.
• Knowledge of cancer processes and treatments and experience with grants and patient assistance programs.

EDUCATION REQUIREMENTS

• High School Diploma or equivalent required.

EXPERIENCE REQUIREMENTS

• 2 years' in an Oncology related position required.
• 3 years' of experience with electronic medical records preferred.

REQUIRED TRAVEL

• N/A

PHYSICAL DEMANDS

Carrying Weight Frequency

1-25 lbs. Frequent from 34% to 66%

26-50 lbs. Occasionally from 2% to 33%

Pushing/Pulling Frequency

1-25 lbs. Seldom, up to 2%

100 + lbs. Seldom, up to 2%

Lifting - Height, Weight Frequency

Floor to Chest, 1 -25 lbs. Occasional: from 2% to 33%

Floor to Chest, 26-50 lbs. Seldom: up to 2%

Floor to Waist, 1-25 lbs. Occasional: from 2% to 33%

Floor to Waist, 26-50 lbs. Seldom: up to 2%