Patient Advocate

Compass Oncology; Spokane Valley (WA); On-site; USD 42,000 - 56,000; Full time

Job summary

Cancer Care Northwest is seeking an Insurance Verification and Financial Counseling Specialist to support front office and billing operations. The role verifies insurance, obtains pre-authorization, maintains accurate patient demographics, and counsels patients on benefits and payments.

The position re-verifies benefits, secures necessary approvals, conducts financial counseling, and assists with financial assistance for patients, ensuring accurate documentation and compliance within the clinic.

Qualifications

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

Responsibilities

• Ensures insurance, demographic, and eligibility information is obtained and entered accurately.
• Performs insurance verification and obtains pre-authorization for services and surgeries.
• Re-verifies benefits and obtains authorization/referral after treatment plan is discussed.
• Assists with financial counseling and documents processes for Billing Office.
• Assists patients in obtaining financial assistance and forms.
• Collects co-pays and other out-of-pocket amounts at visit.
• Maintains required manuals, logs and documentation; protects patient confidentiality.

Skills

Medical office experience

Education

High School Diploma or GED

Job description

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: clear seeing up to 5 feet with or without corrective lenses