Oncology Pharmacy Services Lead & Financial Navigator

Cancer Center of South Florida; West Palm Beach (FL); Vor Ort; USD 70.000 - 95.000; Vollzeit

Zusammenfassung

Cancer Center of South Florida is seeking a Lead Pharmacy Services Coordinator to oversee pharmacy operations, assess treatment costs, obtain insurance approvals, and counsel patients on benefits and copayments.

The role requires expertise in oncology billing and payer policies, with responsibility for pre-authorizations, cost counseling, and collaboration with physicians, nursing staff, and payers.

Qualifikationen

• Thorough understanding of insurance verification, benefits investigation, prior authorizations, and payer policies, especially in oncology settings.
• Proficiency in medical billing systems and knowledge of financial assistance programs, co-pay cards, and patient reimbursement processes.
• Strong communication, counseling, and customer service skills to explain financial responsibilities to patients.

Aufgaben

• Lead and support Pharmacy team operations, including training, scheduling, and task oversight.
• Review and assess IV therapy orders using clinical documentation, payer guidelines, drug cost, and reimbursement data.
• Recommend billing strategies based on financial and payer assessments.
• Obtain and document pre-authorizations for treatments and upload documentation to the EMR.
• Communicate with patients and insurers regarding pre-certification and coverage questions.
• Determine insurance coverage and patient financial responsibility for chemotherapy and therapeutic protocols.
• Provide patient cost estimates for upfront collections and coordinate financial assistance efforts.

Kenntnisse

Insurance verification

Financial counseling

Patient billing

Ausbildung

Healthcare administration or business degree

High school diploma or equivalent

Jobbeschreibung

Cancer Center of South Florida is seeking a Lead Pharmacy Services Coordinator to oversee pharmacy operations, assess treatment costs, obtain insurance approvals, and counsel patients on benefits and copayments.

The role requires expertise in oncology billing and payer policies, with responsibility for pre-authorizations, cost counseling, and collaboration with physicians, nursing staff, and payers.