Patient Financial Advocate - Oncology - Days

Edward Elmhurst Health

Highland (IL)

On-site

USD 31,000 - 47,000

Full time

14 days+

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Benefits offered by this job

Annual incentive plan
Shift premium
Holiday pay
Career growth
Tuition reimbursement
Free parking
Healthcare options
Retirement plan with match
Paid time off

Job summary

Endeavor Health is seeking an Oncology Patient Financial Advocate at Highland Park Hospital in Highland Park, IL. This full-time role provides the oversight of oncology patient financial concerns, including insurance, Medicare denials, pre-certifications, charity care, ABNs, pharmaceutical programs, and billing issues.

The position requires a Bachelor's degree or 10 years of applicable experience and at least 5 years in patient care with billing/insurance expertise.

Qualifications

  • Bachelor’s degree or ten years of applicable experience is required.
  • Minimum of 5 years’ experience in patient care setting with expert knowledge of billing and insurance, especially oncology.
  • Proficient in Microsoft Word, Excel, Outlook, Access and PowerPoint.

Responsibilities

  • Oversees oncology patient financial concerns including insurance/Medicare denials and appeals, pre-certifications, charity care, ABNs and pharmaceutical programs.
  • Designs and manages pre-certification processes; ensures coding compliance and billing accuracy.
  • Coordinates ABN process and verifies insurance coverage; identifies patients needing charity care; assists with medication access and reimbursement.
  • Designs plans to reduce uncompensated care and supports patient payment plan development.

Skills

Billing and insurance knowledge
Patient care experience

Education

Bachelor’s degree or 10 years of applicable experience

Tools

Microsoft Word
Excel
Outlook
Access
PowerPoint

Job description

Patient Financial Advocate - Oncology - Days# Careers## Patient Financial Advocate - Oncology - DaysApply: HPH Highland Park Hospital: Full time: Posted Today: R48702**Hourly Pay Range:**$22.58 - $33.87 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.**Position Highlights:*** **Position**: Patient Financial Advocate, Oncology* **Location**: Highland Park Hospital - Highland Park, IL* **Full Time | 40 hours/week*** **Hours**: Monday – Friday: 8:30am-5pm, no weekend or holidays. **Job Summary:*** The Oncology Patient Financial Advocate has accountability for the overall management of oncology patient financial concerns including insurance and Medicare denials and appeals, pre-certifications, charity care, ABNs, pharmaceutical programs, and other billing issues.* The Oncology Patient Advocate reports jointly to the Sr. Manager, Patient Registration in conjunction to the management team of the Kellogg Cancer Care Centers with the primary goal of reducing uncompensated care. **What you will do:*** Knowledge and application of Endeavor policies and procedures that apply to job and area of responsibility* Pre-certification Process Design and Management* Coding Compliance and billing issues* Coordinate ABN process* Verifies new patients' insurance coverage and identifies patients requiring Charity Care* Medication assistance and reimbursement* Design and implement plans for uncompensated care reduction **What you will need:*** **Education**: Bachelor’s degree or ten years of applicable experience, **required**.* **Experience**: Minimum of 5 years’ experience in patient care setting with expert knowledge of billing and insurance, particularly in regard to Oncology.* **Unique or Preferred Skills**: Demonstrated expertise in patient insurance and billing. Experience in charity care negotiations, pharmaceutical company programs, and patient payment plan development. Computer knowledge to include Microsoft Word, Excel, Outlook, Access, Power Point.**Benefits (For full time or part time positions):*** Eligibility for our Annual Incentive Plan, which offers the potential to earn a certain percentage amount of your base salary based on organizational performance. (For AIP eligible positions)* Premium pay such as shift, on call, holiday and more based on an employee’s job (For eligible positions)* Incentive pay for select positions* Opportunity for annual increases based on performance* Career Pathways to Promote Professional Growth and Development* Various Medical, Dental, Pet and Vision options* Tuition Reimbursement* Free Parking* Wellness Program Savings Plan* Health Savings Account Options* Retirement Options with Company Match* Paid Time Off and Holiday Pay* Community Involvement OpportunitiesEndeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals – Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) – all recognized as Magnet hospitals for nursing excellence. For more information, visit www.endeavorhealth.org.When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.Please explore our website (www.endeavorhealth.org) to better understand how Endeavor Health delivers on its mission to “help everyone in our communities be their best”.Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.At Endeavor Health, we are united by a shared commitment to working together to create a culture of connection and belonging—each of us bringing different skills and experiences as we deliver safe, seamless, and personal care. Every person, every time. We are committed to fostering an environment where all team members can be their best, learn, and pursue excellence together.
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