Urology Revenue Cycle & Funding Specialist

Urology-Centers-of-Alabama; Birmingham Township (PA); On-site; USD 65,000 - 95,000; Full time

Job summary

Urology Centers of Alabama is seeking an experienced Urology Medical Funding, Revenue Cycle & Reimbursement Representative to support patient access, specialty drug funding, reimbursement optimization, payment posting, and financial counseling within a large urology practice.

This role serves as the primary resource for securing financial assistance, maximizing reimbursement, reconciling funding payments, and ensuring timely access to treatment for patients receiving urologic therapies.

Qualifications

• Minimum 5 years of experience in healthcare revenue cycle, reimbursement, medical funding, billing, or patient financial services.
• Working knowledge of CPT, HCPCS, ICD-10, and J-code billing.
• Strong analytical, organizational, and communication skills.
• Proficiency with EHR and practice management systems.

Responsibilities

• Manage patient assistance, copay assistance, foundation grants, and manufacturer funding programs.
• Screen patients for eligibility for Medicaid, Medicare assistance programs, and specialty drug funding resources.
• Obtain and track prior authorizations for medications, procedures, and specialty therapies.
• Coordinate reimbursement for urology medications, including buy-and-bill drugs and specialty pharmacy therapies.
• Post and reconcile payments from insurance carriers, foundations, manufacturers, and patients.
• Review and resolve claim denials, underpayments, and reimbursement discrepancies.
• Monitor accounts receivable and support revenue recovery efforts.
• Reconcile drug inventory, reimbursements, and manufacturer replacement programs.
• Generate funding, reimbursement, and revenue cycle reports.
• Educate patients regarding insurance coverage, treatment costs, and available financial assistance.
• Support Financial Counseling

Skills

Urology

Oncology

Specialty pharmacy

Prior authorizations

Insurance verification

Medical billing

Revenue cycle management

Patient financial services

Payment posting

Drug reimbursement

Buy-and-bill

Medicare/Medicaid reimbursement

EHR

Practice management systems

Tools

EHR

Practice management systems

Job description

Urology Centers of Alabama is seeking an experienced Urology Medical Funding, Revenue Cycle & Reimbursement Representative to support patient access, specialty drug funding, reimbursement optimization, payment posting, and financial counseling within a large urology practice.

This role serves as the primary resource for securing financial assistance, maximizing reimbursement, reconciling funding payments, and ensuring timely access to treatment for patients receiving urologic therapies.