Medical Funding

Urology Centers of Alabama; Birmingham (AL); Sur place; USD 55 000 - 85 000; Plein temps

Résumé du poste

Urology Centers of Alabama in Birmingham, AL, is seeking an experienced Urology Medical Funding, Revenue Cycle & Reimbursement Representative to support patient access, specialty drug funding, reimbursement optimization, payment posting, and financial counseling within our busy practice.

You will secure financial assistance, maximize reimbursement, reconcile funding payments, and educate patients on coverage and costs.

Qualifications

• Minimum 5 years in healthcare revenue cycle, reimbursement, or patient financial services.
• Working knowledge of CPT, HCPCS, ICD-10, and J-code billing.
• Proficiency with EHR and practice management systems.
• Strong analytical, organizational, and communication skills.

Responsabilités

• Manage patient assistance, copay assistance, foundation grants, and manufacturer funding programs.
• Screen patients for eligibility for Medicaid, Medicare assistance programs, and specialty drug funding resources.
• Obtain and track prior authorizations for medications, procedures, and specialty therapies.
• Coordinate reimbursement for urology medications, including buy-and-bill drugs and specialty pharmacy therapies.
• Post and reconcile payments from insurance carriers, foundations, manufacturers, and patients.
• Review and resolve claim denials, underpayments, and reimbursement discrepancies.
• Monitor accounts receivable and support revenue recovery efforts.
• Reconcile drug inventory, reimbursements, and manufacturer replacement programs.
• Generate funding, reimbursement, and revenue cycle reports.
• Educate patients regarding insurance coverage, treatment costs, and available financial assistance.
• Support Financial Counseling

Connaissances

Revenue cycle

Medical funding

Billing

Patient financials

Outils

EHR systems

Practice management software

Description du poste

Job Details

Job Location: Homewood Main Campus - BIRMINGHAM, AL 35209

Position Type: Full Time

Position Overview

We are seeking an experienced Urology Medical Funding, Revenue Cycle & Reimbursement Representative to support patient access, specialty drug funding, reimbursement optimization, payment posting, and financial counseling within a large, growing urology practice.

This role will serve as the primary resource for securing financial assistance, maximizing reimbursement, reconciling funding payments, and ensuring timely access to treatment for patients receiving urologic therapies.

Key Responsibilities

• Manage patient assistance, copay assistance, foundation grants, and manufacturer funding programs.
• Screen patients for eligibility for Medicaid, Medicare assistance programs, and specialty drug funding resources.
• Obtain and track prior authorizations for medications, procedures, and specialty therapies.
• Coordinate reimbursement for urology medications, including buy-and-bill drugs and specialty pharmacy therapies.
• Post and reconcile payments from insurance carriers, foundations, manufacturers, and patients.
• Review and resolve claim denials, underpayments, and reimbursement discrepancies.
• Monitor accounts receivable and support revenue recovery efforts.
• Reconcile drug inventory, reimbursements, and manufacturer replacement programs.
• Generate funding, reimbursement, and revenue cycle reports.
• Educate patients regarding insurance coverage, treatment costs, and available financial assistance.
• Support Financial Counseling

Preferred Experience

• Urology, oncology, specialty pharmacy, or infusion services
• Prior authorizations and insurance verification
• Medical billing and revenue cycle management
• Patient assistance and copay assistance programs
• Payment posting and account reconciliation
• Drug reimbursement and buy-and-bill programs
• Medicare, Medicaid, and commercial insurance reimbursement

Qualifications

• Minimum 5 years of experience in healthcare revenue cycle, reimbursement, medical funding, billing, or patient financial services.
• Working knowledge of CPT, HCPCS, ICD-10, and J-code billing.
• Strong analytical, organizational, and communication skills.
• Proficiency with EHR and practice management systems.