Medical Funding

Urology-Centers-of-Alabama; Birmingham Township (PA); Presencial; USD 65 000 - 95 000; Tempo integral

Resumo da oferta

Urology Centers of Alabama 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 a large urology practice.

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

Qualificações

• 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.

Responsabilidades

• 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

Conhecimentos

Urology

Oncology

Specialty pharmacy

Prior authorizations

Insurance verification

Medical billing

Revenue cycle management

Patient financial services

Payment posting

Drug reimbursement

Buy-and-bill

Medicare/Medicaid reimbursement

EHR

Practice management systems

Ferramentas

EHR

Practice management systems

Descrição da oferta de emprego

Position OverviewWe 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 ResponsibilitiesManage 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 CounselingPreferred ExperienceUrology, oncology, specialty pharmacy, or infusion servicesPrior authorizations and insurance verificationMedical billing and revenue cycle managementPatient assistance and copay assistance programsPayment posting and account reconciliationDrug reimbursement and buy-and-bill programsMedicare, Medicaid, and commercial insurance reimbursementMinimum 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.