Oncology Revenue Cycle Lead & Liaison

Montefiore Medical Center; New York (NY); Presencial; USD 40.000 - 57.000; Jornada completa

Descripción de la vacante

Montefiore Medical Center is seeking an experienced oncology revenue cycle lead to oversee Surgical and Infusion Center referrals, authorizations, and billing workflows across multiple oncology sites.

You will coordinate with the Pre-Service Unit, Pharmacy, and clinical staff to ensure scheduling aligns with FDA guidelines and payer requirements, while supporting patient financial discussions and Medicaid screening as needed.

Formación

• 5 years experience in outpatient hospital/medical oncology infusion centers. (Required)
• Knowledge of patient registration, insurance verification, treatment referrals, prior authorizations, patient financial responsibility, and payment collection processes. (Required)
• Knowledge of Medicare, Medicaid, commercial insurance plans, financial assistance programs, and patient assistance resources. (Required)
• Proficiency in Epic registration and workqueues, Real-Time Eligibility, treatment referral management, payment posting, and reconciliation. (Required)
• Ability to use payer portals, Outlook, Excel, and other systems to verify coverage, track issues, and prepare reports. (Preferred)
• Knowledge of patient privacy, customer service, medical terminology, and basic CPT, HCPCS, and ICD-10-CM terminology. (Preferred)
• Ability to prioritize urgent requests, communicate financial information, maintain accurate documentation, and collaborate with clinical and operational teams. (Required)

Responsabilidades

• Liaise between the Cancer Care Center and the Pre-Service Unit (PSU) for referrals and authorizations.
• Coordinate routine and urgent referral requests, including same-day injections, medications, and treatment add-ons.
• Review Epic Referral Communications and ensure completed referrals and authorizations are attached to the appropriate visit.
• Acting liaison to ensure correct treatment/therapy plan is scheduled per FDA guidelines and that authorized units/counts are obtained.
• Explain treatment plans and insurance requirements to staff to avoid denials.
• Manage workqueues for oncology practices and resolve insurance, registration, authorization status, and billing issues.
• Refer uninsured oncology patients for Medicaid screening, financial assistance, and insurance options.
• Cover Financial Assistant positions when needed for all oncology infusion locations; reconcile daily patient collections.

Conocimientos

Oncology infusion experience

Epic registration & workqueues

Insurance verification

Payment posting & reconciliation

Payer portals & Excel

Educación

Associates Degree Required

Herramientas

Epic Systems

Outlook

Excel

Real-Time Eligibility

Descripción del empleo

Montefiore Medical Center is seeking an experienced oncology revenue cycle lead to oversee Surgical and Infusion Center referrals, authorizations, and billing workflows across multiple oncology sites.

You will coordinate with the Pre-Service Unit, Pharmacy, and clinical staff to ensure scheduling aligns with FDA guidelines and payer requirements, while supporting patient financial discussions and Medicaid screening as needed.