Patient Access & Financial Counselor

US Oncology Network-wide Career Opportunities; Spokane Valley (WA); On-site; USD 31,000 - 43,000; Full time

Benefits offered by this job

Benefits information

Job summary

Cancer Care Northwest is seeking an Insurance Verification Specialist to handle insurance verification and eligibility, assess patient financial needs, counsel patients on benefits and co-payments, and obtain pre-authorizations. The role includes updating demographics and supporting the compliance program.

The position requires attention to detail, strong communication, and experience in a medical office environment. Salary is listed as DOE and benefits are included.

Qualifications

• High School Diploma or GED.
• Three (3) years of medical business office experience with insurance procedures and patient interaction

Responsibilities

• Ensures all insurance, demographic, and eligibility information is obtained and entered into the system in an accurate manner.
• Performs insurance verification process on all third- party payers. Obtains initial and subsequent pre-authorization for services and surgeries.
• Re-verifies benefits and obtains authorization and/or referral after treatment plan has been discussed, prior to initiation of treatment. Ensures appropriate signatures are obtained on all necessary forms.
• Utilizes the Summary of Patient Reimbursement and Liability form and obtains appropriate approvals as required.
• Performs financial counseling process on all patients prior to treatment, which includes patient financial obligations, billing practices and establishing payment arrangements.
• Documents financial counseling process and forwards to Billing Office.
• Assist patients in obtaining financial assistance (i.e. Medicaid, drug replacement), outside assistance (i.e. transportation or other community services), and all appropriate forms filled out.
• Collect co-pays, deductible and other out of pocket amounts at time of visit.
• Assists in maintaining manuals, logs and other required documentation as required.
• Demonstrates an understanding for patient confidentiality to protect the patient and the clinic/corporation.
• Follow policies and procedures to contribute to the efficiency of the front office. Covers for and assists with other front office functions as requested. Performs all other duties/responsibilities as necessary or assigned.

Skills

Medical office experience

Insurance procedures

Patient interaction

Education

High School Diploma or GED

Job description

Cancer Care Northwest is seeking an Insurance Verification Specialist to handle insurance verification and eligibility, assess patient financial needs, counsel patients on benefits and co-payments, and obtain pre-authorizations. The role includes updating demographics and supporting the compliance program.

The position requires attention to detail, strong communication, and experience in a medical office environment. Salary is listed as DOE and benefits are included.