The Patient Financial Coordinator role is responsible for creating 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, Radiology, and/or Urology services within required timeframes to positively impact DSO for 100% of patients that require authorization.
•Confirm insurance has been verified 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, Radiology, and/or Urology. Required attendance at all mandatory RBS training.
•Minimize physician peer to peer reviews.
•Successful patient engagement and financial counseling standards, to be demonstrated by measuring number of patient contacts. Must meet or exceed RBS standards.
•Understand and implement necessary processes to submit authorization for services within required time constraints of scheduled patient. Must meet this expectation for 100% of patients that require authorization.
•Monitor LCDs and insurance policy specific requirements for Radiation Therapy, Radiology, and/or Urology.
•Excellent verbal and written communication with clients, patients and peers.
•Customer service focused on both patients and clients, empathetic toward patient needs.
Other Expectations/Skills
•A collaborative approach to assisting clients and staff.
•Self-motivated with the ability to solve problems.
•Reliable and extremely trustworthy.
•Ability to maintain confidential and meticulous records.
•Excellent verbal and written communication skills.
•Proficient in Microsoft Office Suite or related software.
•Exceptional organizational skills and attention to detail.
•Adaptability and willingness to remain flexible when changes occur
•Exhibit ENCORE values
Key Attributes
ENCORE Values
Encourage others’ success
New ideas; anticipate problems
Create financial value for our clients
Ownership towards a solution
Reach Life Balance
Embody a positive 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 provided 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.
•May require travel at times to either client sites or RBS office locations based on business needs.
•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.