General Job / Performance Information

Environmental / Working Conditions

Works in a well-lighted, heated and ventilated building, in a confined office space. Occupational risk to blood born pathogens is minimal.

Job Description

This position is responsible for obtaining and updating patient benefits, identifying limitations and/or exclusions for each particular plan as it pertains to oncology care (for both physician and facility), obtaining physician referrals for SCTRC patient appointments, and pre-certifications for facility services provided. It is essential that excellent communication is maintained with SCTRC staff, other hospital departments, insurance representatives, etc to ensure we are providing very good care/service to our patients, to maintain continuity of care for recurring patient appointments, to ensure accuracy is maintained when informing the patient of their financial responsibility, and to ensure the facility receives maximum reimbursement for services provided.

Physical Capabilities

The atmosphere is at times stressful with many emotional demands. Must be able to handle problems, interruptions, and other stressful situations, as well as deal with the emotional needs of patients and staff. Must be able to work at a fast pace with frequent interruptions and be able to give attention to details. Work involves sitting most of the time, but frequently involves walking or standing for brief periods of time. This position requires constant phone use. Talking and hearing is essential for communicating with physician’s, coworkers, patients and Insurance carriers. Must possess near visual acuity for reading computer screens and printed material. Lifting and carrying 20-30 lbs is occasional. Typing, keyboarding and reaching in all directions are constant. Hours are occasionally irregular.

Skills and Abilities

Knowledge of insurance verification and precertification required.

Medical terminology and healthcare experience required; hospital experience a plus.

Excellent communication skills in spoken and written work, interpersonal and conflict resolution.

Ability to work in a fast paced environment with frequent interruptions and ability to multi-task.

Must have a good understanding of insurance payer policies and rules.

Attention to detail and organizational skills are a must.

Ability to learn quickly as technology and/or insurance requirements change and implement changes accordingly

Must be proficient in computer skills; accuracy and speed are essential

Must be able to work without supervision