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Radiation/Oncology Verification Specialist

Job Details

Job Location

1650 Republic Pkwy Ste 150, Mesquite, TX 75150 - Mesquite, TX

Description

Responsible for verifying insurance benefits, obtaining precertification or predetermination if required along with making sure a valid referral is on file if needed for both radiation & medical oncology as well as provide financial counseling to patients prior to their scheduled appointments.

+ Contacts the insurance company for eligibility & benefits, obtaining precertification or predetermination if required along with making sure a valid referral is on file if needed.Answer incoming department calls and assist patients with their benefit inquiries & quotes.

+ Communicates with Physician’s MA to obtain clinical information as needed for precertification and/or predeterminations.

+ Documents benefits in insurance maintenance screen of medical billing system.

+ Contacts Patient to notify them of their portion for upcoming appointment.

+ Documents any communication made to patient in chart notes of medical billing system.

+ Documents amount to collect for upcoming visit within the patient’s appointment outside of any copayments.

+ Reviews the ledger for any outstanding balances and notifies collector via Nextgen PM email.

+ Maintain department target date of 10 days out.

+ Assist department with schedules in the event of an absence or staff shortage.

+ Rotating Kitchen & Fax Duty

Qualifications

Education and/or Experience:

+ High school diploma or equivalent.

+ Effective communication skills, including verbal, written and telephone.

+ Proficient in mathematical skills

+ Able to multitask, be motivated and team player with positive attitude

+ Experience with insurance verification of benefits as well as precertification, predeterminations, and referrals.

+ Medical and Radiation oncology experience necessary.

+ Advanced Radiology experience a plus

+ Urology and medical terminology knowledge