The Patient Financial Coordinator will create an environment where knowledge and information regarding patient services being rendered, approved and charged, is communicated effectively at the client level to maximize reimbursements. Excellent communication skills are required to interact with clients, patients, and internal partners daily.
Essential Duties and Responsibilities
•Submit referral, precertification and/or authorization for Radiation Oncology services within 48 hours of notification to positively impact DSO for 100% of patients that require authorization.
•Handle insurance verification to include network and payor participation; prior to patient visit to positively impact DSO.
•Weekly attendance at required client meetings as liaison between the Radiation Oncology department and Billing Department for both RBS and the client.
•Obtain knowledge of industry standards for Radiation Oncology. Required attendance at all mandatory RBS training.
•Minimize physician peer to peer reviews to less than one per week.
•Successful patient engagement and financial counseling standards, to be demonstrated by measuring number of patient contacts. Must meet or exceed 80% of patients on treatment.
•Understand and implement necessary processes to submit authorization for services within 48 hours of notification of scheduled patient. Must meet this expectation for 100% of patients that require authorization.
•Monitor LCDs and insurance policy specific requirements for Radiation Therapy.
•Assist with taking patient payments (in-person and over the phone).
•Coordinate with AR to ensure all necessary information needed to process a claim in unlimited financials.
•Coordinate with KC Urology to assist with prior authorization and assist with some appeals.
•Excellent verbal and written communication with clients, patients and peers.
•Customer service focused on both patient and clients, empathetic toward patient needs.
•Financial counsel patients and collect payments in person and over the phone.
Other Expectations/Skills
•Excellent verbal and written communication
•Problem Solving
•Customer service focused
•Relationship building
•Self-motivated
•Strong organization skills
•Ability to handle sensitive patient information with confidentiality
ENCORE Values
Encourage others’ success
New ideas; anticipate problems
•Contribute to the team’s efficiency by participating in staff meetings and contributing new thoughts and ideas for process improvements. Identify issues that require additional investigation and evaluation, validate discrepancies, and ensure appropriate follow-up.
Create financial value for our clients
Ownership towards a solution
•Identify issues that fall through the cracks, either here or on the client side, before they create problems; use critical thinking skills to provide remedial solutions and develop preventive methods going forward. Ensure provider credentialing procedures are followed, and timelines are met to prevent loss of revenue.
Reach Life Balance
Embody a positive approach
•Actively engage in departmental, client, and other internal team meetings with a positive and upbeat attitude. Communication with clients and other RBS divisions should be positive and show an “I can” approach
•High School Diploma
•Minimum 5 years’ experience with Medical Billing and Patient Accounts
•Minimum 5 years of Radiation Oncology billing/coding experience preferred
•Clinical office experience preferred
Physical Demands and Work Environment: The physical demands described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the functions.
•Ability to lift/carry up to 25 pounds.
•Ability to sit/stand for long periods of time.
•Good manual dexterity with the ability to perform repetitive hand/wrist motions.
•Requires mastery of complex language, comprehension, reasoning, and analytical skills typically found in mid to high-level work.
•Ability to manage multiple tasks as assigned and handle stressful situations.
•May require travel at times to either client sites or RBS office locations.
•Typical office environment
•Moderate noise levels
Disclaimer: This job description in no way states or implies that these are the only duties to be performed by the employee(s) of this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities.
The company is an equal opportunity employer, drug-free workplace, and complies with ADA regulations as applicable.