Patient Advocate

US Oncology Inc.; Spokane Valley (WA); On-site; USD 31,000 - 43,000; Full time

Job summary

Cancer Care Northwest in Spokane Valley is seeking a dedicated insurance verification specialist. You will verify insurance, eligibility, and demographics, and obtain pre-authorizations to support timely care.

You will also provide financial counseling, collect co-pays, and help patients navigate assistance programs while maintaining strict confidentiality and accurate records.

Qualifications

• High School Diploma or GED.
• Three years of medical business office experience with insurance procedures.

Responsibilities

• Verify insurance, demographics, and eligibility accurately.
• Obtain initial and subsequent pre-authorization.
• Re-verify benefits and secure authorizations after treatment plan.
• Document and obtain necessary signatures.
• Provide financial counseling and arrange payment plans.
• Assist patients with financial assistance programs.
• Collect co-pays and out-of-pocket amounts at visit.
• Maintain documentation and protect patient confidentiality.
• Support front office operations as needed.

Skills

Insurance procedures

Patient interaction

Pre-authorization processes

Data entry

Education

High School Diploma

Job description

Overview

Join a Legacy of Care – Delivering over 50 years of Healing and Hope

For over five decades Cancer Care Northwest has been the Inland Northwest's premier cancer center, providing an integrated approach to the diagnosis, treatment and healing of cancer and blood-related diseases.

Our collective passion to fight against cancer is what motivates and inspires us every day and is the reason Cancer Care Northwest has become the Inland Northwest's premier cancer center. We provide comprehensive, innovative, compassionate, integrated care throughout each patient's journey. We are searching for dedicated professionals who share our passion in saving lives. Are you searching for better work-life balance? Join us in our mission to save lives.

Summary:

This position is responsible for insurance verification and eligibility, assessment of patient financial requirements, counseling patients on insurance benefits and co-payments. Obtains pre-authorization of services. Obtains and maintains accurate patient demographics. Supports and adheres to the Cancer Care Northwest Compliance Program, to include the Code of Ethics and Business Standards.

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

Qualifications

Minimum Qualifications:

• a High School Diploma or a General Education Degree
• three (3) years of medical business office experience with insurance procedures and patient interaction

Physical Demands:

To perform this job successfully, an individual must be able to:

• Regularly: sit, grasp, reach, talk, and hear
• Occasionally: stand, bend, stoop/crouch, lift up to 30 pounds, pull/push up to 30 pounds, and carry up to 30 pounds
• Vision: clearly see up to 5 feet with or without corrective lenses

Work Environment:

To perform this job successfully, an individual must be able to:

• Regularly: sit, grasp, reach, talk, and hear
• Occasionally: stand, bend, stoop/crouch, lift up to 30 pounds, pull/push up to 30 pounds, and carry up to 30 pounds
• Vision: clearly see up to 5 feet with or without corrective lenses

Salary DOE – $22.33 - $31.27

Benefit Information https://careers.usoncology.com/benefits