Oncology Financial Advocate for Patient Care

Holy Cross Health Fl; Fort Lauderdale (FL); On-site; USD 42,000 - 65,000; Full time

Job summary

Holy Cross Health Florida in Fort Lauderdale is hiring for a Full-time role focused on helping patients understand treatment costs and insurance coverage. You will document payment arrangements and assist with high-cost infusion pre-authorizations.

You will coordinate with patients, physicians, insurers and pharmaceutical companies, validating codes and medical necessity per FDA/NCCN guidelines, while guiding patients through financing and assistance options.

Qualifications

• High school diploma or GED.
• 2–3 years experience in Patient Access or Patient Accounting for hospital registration and/or hospital reimbursement services.
• HFMA CRCR and/or NAHAM CHAA certification required within one year of hire.
• Understanding of basic billing and coding.

Responsibilities

• Provides patient counseling regarding treatment costs, insurance coverage, available payment resources, and financial assistance options. Secures and documents payment arrangements.
• Submits authorization for initial and subsequent high-cost infusion and oncology services based on complex treatment plans.
• Coordinates with the patient, physician, insurance company, and pharmaceutical company to complete the required pre-authorization process.
• Validates payable diagnosis codes/medical necessity and prior therapy requirements according to FDA and NCCN guidelines.
• Assists patients in financing, payment plans, financial assistance and all financial options through the organization, including grants, co-pay assistance for high-cost pharmacy/drugs and free-drugs for infusion and specialty care patients.

Skills

Patient access

Medical billing

Insurance verification

Communication skills

Documentation

Education

HFMA CRCR certification

NAHAM CHAA certification

Bachelor’s degree or advanced certification

Tools

Epic

Job description

Holy Cross Health Florida in Fort Lauderdale is hiring for a Full-time role focused on helping patients understand treatment costs and insurance coverage. You will document payment arrangements and assist with high-cost infusion pre-authorizations.

You will coordinate with patients, physicians, insurers and pharmaceutical companies, validating codes and medical necessity per FDA/NCCN guidelines, while guiding patients through financing and assistance options.