Patient Advocate - Float

The US Oncology Network; Spokane (WA); On-site; USD 31,000 - 43,000; Full time

Job summary

Cancer Care Northwest is seeking an Insurance Verification Specialist to manage insurance verification, eligibility, and pre-authorization for treatment services.

Responsibilities include verifying patient demographics, counseling on insurance benefits and copayments, and documenting financial counseling and referrals to support services. Excellent data entry and confidentiality are essential.

Qualifications

• 3 years of medical business office experience with insurance procedures and patient interaction.

Responsibilities

• Insurance verification and eligibility information collection and entry.
• Obtain initial and subsequent pre-authorization for services and surgeries.
• Re-verifies benefits and obtains authorization and/or referral before treatment.
• Perform financial counseling on patients prior to treatment, including financial obligations and payment arrangements.
• Document financial counseling and forward to Billing Office.
• Assist patients in obtaining financial assistance and external support services.
• Collect co-pays, deductibles and other out-of-pocket amounts at visit.

Education

High School Diploma or GED

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.

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

• 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

• 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

• 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