Patient Services Specialist

US Oncology Inc.; Wichita (KS); On-site; USD 42,000 - 65,000; Full time

Benefits offered by this job

Medical Health Care

Dental Care

Vision Plan

401-K with a matching component

Life Insurance

Short-term and Long-term disability

FSA and HSA

Legal Insurance

Competitive Paid Time Off Plan

Wellness & Perks Programs

Job summary

The Cancer Center of Kansas in Wichita, KS is seeking a full-time on-site Patient Services Specialist to join our team. The typical schedule is Monday through Friday, 8:30 AM – 5:00 PM with no major holidays, no on-call and no weekends.

Under supervision, the role identifies uninsured patients, develops Good Faith Estimates, verifies insurance, assists with applications and eligibility checks, and supports the Patient Assistance Team while upholding HIPAA and compliance.

Qualifications

• High school diploma or equivalent required.
• Medical business office experience with insurance procedures and patient interaction preferred.
• Knowledge of medical billing and collection practices.
• Knowledge of insurance agency operation procedures and policies.
• Knowledge of ICD-10 coding.

Responsibilities

• Identify uninsured patients scheduled for services and prepare Good Faith Estimates.
• Confirm eligibility and verify insurance benefits.
• Counsel patients regarding financial obligations and payment arrangements.
• Assist with assistance applications, billing inquiries and other general insurance questions.
• Collaborate with outside providers to obtain assistance for patients on all services.
• Maintain up-to-date databases for services and fee schedules.
• Ensure compliance with HIPAA and company policies.

Skills

Excel

Patient interaction

Telephone etiquette

Medical terminology

Communication

Education

High school diploma or equivalent

Job description

Overview

The Cancer Center of Kansas (CCK) is seeking a full-time on-site Patient Services Specialist to join our team in our Wichita, KS offices. The typical work week is Monday through Friday, 8:30 AM – 5:00 PM with no major holidays, no on-call and no weekends.

As part of The US Oncology Network and with over 40 years being established in Kansas, CCK delivers quality, personalized cancer care to communities across the state. Our physicians and staff treat patients in over 18 locations throughout the state. Our management and physician teams continue to be recognized in our communities for Excellence in Healthcare! With our mission in mind, we value each and every employee for their life-saving expertise and the role they play in making our patients’ lives as easy and comfortable as possible. Our employees are our most valuable resource. They help us create and continue to deliver on our mission.

In CCK’s partnership with the US Oncology Network, one of the nation’s largest networks of community-based oncology physicians dedicated to advancing cancer care in America and supported by McKesson Corporation, we are able to extend an extremely competitive offering of benefits to employees, including:

• Medical Health Care

• Dental Care

• Vision Plan

• 401-K with a matching component

• Life Insurance

• Short-term and Long-term disability

• FSA and HSA

• Legal Insurance

• Competitive Paid Time Off Plan

• Wellness & Perks Programs

What does this position entail?

Under general supervision, is responsible for identifying uninsured patients scheduled for services, developing and delivering Good Faith Estimates to patients, insurance verifications, assistance applications and eligibility checks. Additionally, the position supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards, and US Oncology’s Shared Values.

Responsibilities

The essential duties and responsibilities of this position are:

• Ensures all uninsured patients are identified

• Develop a Good Faith Estimate and provide it to the uninsured patients in accordance with current guidelines.

• Confirms eligibility and verifies insurance benefits.

• Counsel patients regarding financial obligations, billing practices, establishing payment arrangements and referring patients to the Patient Assistance Team as necessary.

• Assist with assistance applications, billing inquiries and any other general insurance questions.

• Collaborate with outside providers and companies to obtain assistance for CCK patients on all services.

• Maintain an up-to-date database for services provided including but not limited to fee schedules.

• Remain informed of newly released regulations and requirements from HHS, CMS and commercial payers and work to offer implementation ideas incorporating the same.

• Coordinate with Business Office Director on solutions which may include workflow or software changes.

• Communicate effectively with insurance companies, patients and team members.

• Demonstrates an understanding for patient confidentiality to protect the patient and the clinic/corporation.

• Demonstrates compliance with all policies and procedure including HIPAA privacy rules, and maintains confidentiality of patient and company information.

• Attends required, applicable meetings.

• Remains current on all compliance requirements.

• Ensures all applicable policies and procedures of the company and Network are followed.

• Other duties or responsibilities as assigned.

Additional Skills and Abilities

• Ability to read, understand and follow oral and written instructions.

• Ability to create spreadsheets in Excel.

• Ability to deal courteously with patients, co-workers and insurance personnel.

• Ability to operate a telephone system and utilize appropriate telephone etiquette.

• General knowledge of standard office equipment such as computers, fax machine, scanners.

• General knowledge of medical terminology.

• Ability to speak clearly and concisely. Ability to hear sounds concisely.

Supervisory Responsibilities

• None.

Qualifications

The ideal candidate for the position will have the following qualifications:

Education and/or Experience

• High school diploma or equivalent required.

• Medical business office experience with insurance procedures and patient interaction preferred.

Qualifications

• Knowledge of medical billing and collection practices.

• Knowledge of insurance agency operation procedures and policies.

• Knowledge of governmental, legal and regulatory provisions related to collection activities.

• Knowledge of drugs and supplies utilized.

• Knowledge of ICD-10 coding.

Certifications, Licenses, Registrations

• None

Physical Demands of the Job

Physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 30 lbs. Requires corrected vision and hearing to normal range. It is necessary to view and type on computer screens for prolonged periods of time.

Work Environment of the Job

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Exposure to communicable diseases, toxic substances, medical preparations and other conditions common to an oncology/hematology clinic environment may occur. Work is performed in a medical office environment. Involves frequent interaction with staff, patients, and physicians.