Patient Financial Advocate

City of Hope; Silver Spring (MD); On-site; USD 31,000 - 47,000; Full time

Job summary

Maryland Oncology Hematology (MOH) is seeking a focused Pre-Services Coordinator to educate patients on insurance coverage and benefits, estimate costs, and coordinate pre-authorizations. The role involves verifying demographics and coverage at each visit, exploring financial aid options, and ensuring accurate billing entries.

You will work under general supervision across MOH’s Maryland locations. The candidate should have medical revenue cycle experience, CPT/HCPCS knowledge, and strong

Qualifications

• High school diploma or equivalent required.
• Associates degree in Finance, Business or four years revenue cycle experience preferred.
• Minimum three (3) years pre-services coordinator experience and two (2) years of patient benefits experience required.
• Must be able to demonstrate knowledge of CPT coding and HCPCS coding manuals.
• Must verbally communicate clearly and utilize the appropriate and correct terminology.
• Must be able to demonstrate knowledge and appropriate application of insurance coverage benefits and terminology.

Responsibilities

• Prepares and completes appropriate reimbursement and liability forms for patients first appointment.
• Educates patients on insurance coverage, pre-authorizations, benefits, co-pays, deductibles, and out-of-pocket expenses.
• Assesses patients ability to meet expenses and discusses payment arrangements.
• May educate patients on financial assistance programs and assist with forms.
• Reviews reimbursement and liability forms with patient and obtains signatures.
• Obtains insurance pre-authorization or referral approval codes prior to each treatment.
• Reviews patient account balance and notifies front desk of patients to meet with.
• Ensures co-pay amount is entered into system correctly.
• Reviews refund requests and adjustments; discusses delinquent payments with patients/payers.
• Verifies and updates demographics and insurance coverage at each patient visit.
• Networks with financial aide providers to obtain leads to assistance programs.
• Adheres to confidentiality, HIPAA laws and guidelines with regards to patient records.
• Maintains manuals, logs, forms, and documentation; performs additional duties as requested.
• Other duties as requested or assigned.

Education

High school diploma or equivalent

Associates degree in Finance, Business or four years revenue cycle experience preferred

Job description

Maryland Oncology Hematology (MOH) is seeking a focused Pre-Services Coordinator to educate patients on insurance coverage and benefits, estimate costs, and coordinate pre-authorizations. The role involves verifying demographics and coverage at each visit, exploring financial aid options, and ensuring accurate billing entries.

You will work under general supervision across MOH’s Maryland locations. The candidate should have medical revenue cycle experience, CPT/HCPCS knowledge, and strong