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Radiation/Oncology Insurance Verification Specialist
Job Details
Job Location
Central Billing Office - Mesquite, TX
Description
Job Summary:
Responsible for verifying insurance benefits, obtaining precertification or predetermination if required along with making sure a valid referral is on file if needed for both radiation & medical oncology as well as provide financial counseling to patients prior to their scheduled appointments.
Job Responsibilities:
Contacts the insurance company for eligibility & benefits, obtaining precertification or predetermination if required along with making sure a valid referral is on file if needed.
Communicates with Physician’s MA to obtain clinical information as needed for precertification and/or predeterminations.
Documents benefits in insurance maintenance screen of medical billing system.
Contacts Patient to notify them of their portion for upcoming appointment.
Documents any communication made to patient in chart notes of medical billing system.
Documents amount to collect for upcoming visit within the patient’s appointment outside of any copayments.
Reviews the ledger for any outstanding balances and notifies collector via Nextgen PM email.
Maintain department target date of 10 days out.
Answer incoming department calls and assist patients with their benefit inquiries & quotes.
Assist department with schedules in the event of an absence or staff shortage.
Rotating Kitchen & Fax Duty
Education/Experience:
High school diploma or equivalent.
Effective communication skills, including verbal, written and telephone.
Proficient in mathematical skills
Able to multitask, be motivated and team player with positive attitude
Experience with insurance verification of benefits as well as precertification, predeterminations, and referrals.
Medical and Radiation oncology experience necessary.
Advanced Radiology experience a plus
Urology and medical terminology knowledge