Cancer Center Insurance Specialist, Medical Oncology - Fulltime, Days

UChicago Medicine; Illinois; Hybrid; USD 55,000 - 75,000; Full time

Job summary

UChicago Medicine is seeking a Cancer Insurance Specialist in the Finance department. This role offers a primarily work-from-home arrangement with onsite needs, potentially outside the Chicago area.

The position is 3-year grant-funded and focuses on pre-registration, insurance verification, and payor authorizations for inpatients and outpatients, plus educating patients on financial responsibilities. The Specialist will work with clinical and administrative teams, liaise with insurers for proper

Qualifications

• Bachelor’s degree or equivalent; 2+ years in healthcare finance/insurance verification.
• Experience with insurance authorization and registration techniques.
• Proficiency with Navinet, WebMD, Passport; EPIC Prelude/Cadence training preferred.
• Strong communication and organizational skills; patient confidentiality.

Responsibilities

• Collaborate with clinical and administrative teams from referral through treatment and follow-up.
• Interact with insurance companies to ensure proper payments; advocate for patients on billing issues.
• Advise patients about anticipated costs and financial responsibilities.
• Determine coverage, limits, and financial responsibility with providers.
• Access and document information in the EHR to support authorization workflows.
• Coordinate with pre-certification/insurance teams across billing entities.
• Provide information to the Single Case Agreement Team for non-par plans.

Skills

Patient communication

Insurance verification

Payor authorization

EMR documentation

Collaboration with care teams

Education

Bachelor's degree or equivalent

Tools

Navinet

WebMD

Passport

EPIC Prelude/Cadence

Job description

Job Description

Be a part of a world-class academic healthcare system, Uchicago Medicine, as a Cancer Insurance Specialist in the Finance department. This position will be primarily a work from home opportunity with the requirement to come onsite as needed. You may be based outside of the greater Chicagoland area. This is a 3 year grant-funded position. The Cancer Insurance Specialist will be responsible for pre-registration, insurance verification and payor authorizations of inpatients and outpatients, and educating patients about their financial responsibilities and resources.

Essential Job Functions

• Works with patient and families and collaborates with members of the clinical and administrative team, including Patient Access and Call Center teams, from the point of initial referral through clinical evaluation, and continuing through active treatment and for follow-up visits.


• Routinely interacts with the insurance companies to ensure proper payments for all cancer-related services, and serves as an advocate for the patient when billing problems occur


• Advises patients of anticipated costs


• Works with health insurance providers to determine coverage, benefit limits, and financial responsibility.


• Uses the patients’ electronic health record to both access and document information which supports authorization, therefore, ensuring a systematic approach to sharing critical information.


• Networks with other pre-certification/insurance employees across UCM’s billing entities to stay abreast of and share recent changes, updates, and processes.


• Provides complete information to the Single Case Agreement Team on initial request in an effort to facilitate a standardized and systematic process for non-par insurance plans.


• Maintains and develops clear lines of communication with insurance representatives from multiple insurance companies who can provide pre-certification/authorization guidelines unique to their company. Must be able to effectively manage work across departments, work independently with minimal supervision, and participate in administrative decisions.


• Strong communication skills, attention to detail, problem solving, and a high degree of organization are critical qualities.

Required Qualifications

• Bachelor’s degree, or equivalent, and/or two (2) years’ experience working in medical insurance verification and/or other healthcare finance areas.


• Minimum of five (5) years related healthcare registration, billing and/or reimbursement experience required.


• Advanced insurance authorization and registration techniques.


• Website Insurance Training (Navinet, WebMD, Passport)


• EPIC training & testing (Prelude/Cadence)


• Registration Essentials


• Windows-based PC experience


• Resource scheduling experience preferred (e.g. ancillary testing)


• Previous experience in complex clinical setting that required coordination of multiple services


• Utilization of Hospital revenue systems


• Background in medical terminology; (Oncology) experience

Skills

• Ability to schedule and register patients rapidly and accurately


• Ability to interact professionally with patients, physicians, insurance companies, and other member of Hospital staff


• Strong communication skills and must be able to communicate courteously and effectively with physicians, payors, and staff


• Must be a self-motivated


• Individual must be highly organized and dependable, and able to work with minimum of supervision


• Ability to prioritize and work on several projects at once while maintaining communication with all invested parties


• Ability to complete multiple tasks and work under pressure and in stressful situations


• Ability to quickly learn new procedures


• Ability to display compassion and empathy and maintain confidentiality of patient information

Position Details

• Job Type/FTE: 1.00 FTE


• Shift: Days Monday-Friday (No Weekends) 8:00am-5:00pm (Flexible start time) - Rotation, Hyde Park


• Unit/Department: Finance


• CBA Code: Non-Union