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Our team members are the heart of what makes us better.

At Hackensack Meridian _Health_ we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Patient Access Specialist, Oncology provides assistance to patients, Physicians, caregivers in all areas of Oncology /Radiation Oncology services in the HMH Health care system. This pertains to Prior Authorization for Oncology services, as well as various specialized services ordered by clinical caregivers which may require prior approvals to avoid loss of revenue for both professional and facility services and surprise out of pocket costs . This position is responsible for coordinating all the functions and activities related to patient precertification/authorization for Chemotherapy, Radiation, and Diagnostic Imaging associated with a patient's plan of treatment. This includes but is not limited to: accurate and complete patient registration in the approved organization electronic scheduling and billing systems and on-site insurance verification while being able to navigate the various Insurance portals where clinical data is submitted to substantiate the request for prior approvals for oncology services.

Education, Knowledge, Skills and Abilities Required:

+ Associate's degree and/or related work experience.

+ Minimum of 3 years of experience in a hospital setting or medical/clinical office.

+ Prior experience with an electronic health record system (especially EPIC clinical or ARIA) preferred.

+ Prior relevant experience, such as doing prior auths in MD office, or related hospital or Physician based services.

+ Demonstrated knowledge of medical terminology, preferably in Oncology, with strong understanding of cancer medical terminology.

+ Prior experience in analyzing the NCCN, FDA and CMS guidelines for cancer diagnosis.

+ Effective oral and written communication skills to analyze and understand predetermination of medical necessity provided by insurance payers to convey and communicate to clinical care givers (Physicians, Nurse Practitioners and RN case managers.

+ Ability to deal effectively and professionally with a variety of different individuals both clinical, clerical and professionals in oncology settings.

+ Ability to perform in a high-pressure environment.

+ Customer Service Oriented.

+ Proficient computer skills that may include but are not limited to Microsoft Office and/or Google Suite platforms.

+ Ability to work every other weekend.

+ Ability to work three (3) out of six (6) holidays.

+ Ability to work rotating schedules/shifts based on needs.

Education, Knowledge, Skills and Abilities Preferred:

+ Bachelor's Degree and/or related experience.

+ Excellent Analytical, written and verbal communication, and interpersonal skills.

+ Proficient medical terminology knowledge.

+ Knowledge of insurance specifications, ICD10 and CPT4 codes.

+ Bilingual (i.e. Spanish or Korean).

+ Experience with EPIC HB, Cadence, and Prelude.

Licenses and Certifications Required:

+ Successfully complete EPIC Cadence and Prelude training and pass assessment that follows within 30 days after Network access is granted.

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

159891

Starting at $30.45 Hourly

HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.

The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to:

+ **Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness.**

+ **Experience: Years of relevant work experience.**

+ **Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.**

+ **Skills: Demonstrated proficiency in relevant skills and competencies.**

+ **Geographic Location: Cost of living and market rates for the specific location.**

+ **Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.**

+ **Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.**

Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts.

In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.

HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER

All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.