Patient Support Representative- Radiology

US Oncology Network-wide Career Opportunities; Nashville (TN); Vor Ort; USD 40.000 - 60.000; Vollzeit

Zusammenfassung

SCRI Oncology Partners in Nashville is seeking a medical billing specialist to support our cancer care team. You will manage billing and claim submissions, verify insurance eligibility, obtain pre-authorizations, and counsel patients on insurance and payment issues.

You will post line items, review EOBs, follow up on accounts, and help arrange financial options for patients while upholding our compliance standards and service quality.

Qualifikationen

• High School Diploma or equivalent required.
• Minimum three to five years medical business office experience.

Aufgaben

• Obtains and enters insurance information in the system accurately and timely.
• Collects co-pays, deductibles and other out-of-pocket amounts at the time of visit.
• Verifies insurance eligibility and obtains pre-authorization as needed.
• Posts line items and adjustments; balances receipts and prepares deposits.
• Reviews EOBs for consistency and processes claims for payment.

Kenntnisse

Insurance verification

Billing and claims

Patient counseling

Data entry

Ausbildung

High School Diploma or equivalent

Jobbeschreibung

Overview

SCRI Oncology Partners, located in Nashville, Tenn., is a dedicated cancer treatment practice led by globally recognized oncologists with disease expertise in cancer care and clinical research. This practice offers patients state-of-the art personalized cancer care and opportunities to participate in clinical trials with innovative treatments. The practice conducts clinical trials through their affiliation with Sarah Cannon Research Institute (SCRI), a global leader in oncology research that has been offering and managing clinical trials in the community for over 30 years. Since its inception, SCRI-OP has contributed to pivotal research that has helped advance the majority of new cancer therapies approved by the FDA today.

SCOPE :

Under general supervision, performs general business office functions that may include some or all of the following: billing and claim submissions; charge capture and payment posting; insurance verification and eligibility; obtaining pre-authorization; counseling patients and families on insurance and payment issues; and account follow-up and payment resolution. As necessary, assists patients and families with obtaining community resources including, but not limited to, housing, transportation, and financial support. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards

Responsibilities

ESSENTIAL DUTIES AND RESPONSIBILITIES :

• Ensures all insurance, demographic, and eligibility information is obtained from patients and entered into the system in an accurate and timely manner. Registers patients in the system as necessary.
• Collects and reviews all patient insurance information and completes insurance forms. Collects co-pays, deductibles and other out of pocket amounts at the time of visit.
• Confirms patient insurance verification and eligibility. Obtains pre-authorization of services and/or referrals. Assesses patient financial requirements and advises patients and families on insurance benefits, co-pays and financial obligations.
• Posts line items and adjustments to patient accounts. Balances receipts, reconciles daily work batches and prepares audit trail. Prepares deposits for bank as needed.
• Reviews Explanation of Benefits (EOB) for consistency.
• Submits files and processes all claims for payment. Researches and resolves claim delay issues.
• Resolves patient questions and complaints regarding insurance billing and adjusts accounts as necessary. Resubmits claims and processes all insurance/patient correspondence. Provides all documentation to expedite payment.
• Follows-up on assigned accounts. Uses collection techniques to keep accounts current including monitoring for delinquent payments.
• Sets-up financial arrangements with patients as necessary.
• As necessary, assists patients with researching and obtaining community resources including housing, transportation, drugs and pharmaceutical supplies, and financial resources.

Qualifications

MINIMUM QUALIFICATIONS :

• High School Diploma or equivalent required.
• Minimum three to five years medical business office experience.

PHYSICAL DEMANDS :

The 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 regularly required to sit and use hands to finger, handle, or feel. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 30 pounds. Requires vision and hearing corrected to normal ranges. Requires vision and hearing corrected to normal ranges.

WORK ENVIRONMENT :

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. Work requires frequent interaction with patients and staff.

Why Work for Us?

We offer a competitive benefits package that includes -

• Medical
• Dental
• Vision
• Life Insurance
• Generous Paid Time Off (PTO)
• Company-paid Short-term and Long-term Disability Coverage
• 401k plan with company contribution
• Wellness program that rewards you practicing a healthy lifestyle
• Employee Assistance Program and Discount Program to some of your favorite retailers
• Free Parking
• Career Growth and Development
• Supportive Team and Resources

US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.