"Alerted.org

Provide billing and compliance support within the Division of Radiation Oncology to include; compliance and charge capture, referral/medical necessity, denial management/data collection and follow up, and project management. This position provides business support to clinic and administrative personnel within the Division of Radiation Oncology.

+ Assures that all referrals are managed effectively and efficiently for Radiation Therapy Services.

+ Provides high-level customer service to both referring physicians as well as referred patients. Verifies medical necessity for all radiation treatments based on patient’s diagnosis and medical insurance.

+ This job requires the application and interpretation of policies and procedures and the use of independent judgment in a medical setting.

+ The individual must possess the ability to maintain a working knowledge of carrier contracts/changes and departmental policies and procedures.

+ Review insurance guidelines to determine if criteria are present for proceeding with planned treatment.

+ Maintain thorough knowledge of insurance company criteria and radiation specific billing codes.

+ Communicate with physicians, department billing team, and preauthorization team to ensure accurate precertification/authorization information is aligned with accurate billing of services.

+ Performs all other related tasks which would facilitate the flow of patients through the process, or which would enhance the quality of service to patients.

+ Review patient documentation to abstract clinical data information and assess appropriate level and assign the appropriate codes for radiation treatment and procedures prior to exporting to claim. Evaluation and Management – Consults.

+ In addition to the above job responsibilities, other duties may be assigned.

Position Compensation Range: $19.11 - $29.62 Hourly

MINIMUM REQUIREMENTS

Education: High School Diploma

Experience: 2 years relevant experience

Licensure: Relevant coding certification, such as Radiation Oncology Certified Coder (ROCC), from an accredited organization, Strongly Preferred.

PHYSICAL DEMANDS

This is primarily a sedentary job involving extensive use of desktop computers. The job does occasionally require traveling some distance to attend meetings, and programs.

_The_ _University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Click_ here (https://eocr.virginia.edu/notice-non-discrimination-and-equal-opportunity) _to read more about UVA’s commitment to non-discrimination and equal opportunity employment._