US Oncology Inc.
Overview
Join the team at Regional Cancer Care Associates as a Precertification Specialist, where your passion and multi-tasking prowess will directly impact patient lives! Be the vital link in securing treatment authorizations, collaborating with our dynamic healthcare team, and guiding patients through their financial journeys. Whether you're an experienced professional or a fresh graduate ready to dive into oncology care, this is your chance to make a meaningful difference. Step into the forefront of cancer care and help us transform lives today!
Employment Type: Per Diem
Location: Remote
Compensation: $19.50 - 26.29 per hour
Compensation packages based on your unique skills, experience, and qualifications
Responsibilities
Monitors assigned worklists and emails to provide front end review for authorization and to answer any questions related to authorizations.
Contacts patients to discuss OOP cost, offer assistance options (if available), and coordinate outreach for patient plan initiation (if applicable).
Reviews weekly denial report, resolves issues including submitting retro authorization requests or front-end appeals.
Adheres to workflow and if issues arise escalates to Supervisor promptly.
Adheres to confidentiality, state, federal, and HIPAA laws and guidelines with regard to patient records.
Performs other duties as requested or assigned.
Qualifications
High School diploma or equivalent required
Minimum two (2) years of experience in a patient access or financial clearance role. Oncology preferred.
Demonstrate advanced knowledge of medical terminology
Ability to navigate different systems seamlessly and able to multitask efficiently.
Must successfully complete required e-learning courses within 90 days of occupying position
Competencies:
Uses Technical and Functional Experience
Possesses up to date knowledge of the profession and industry
Accesses and uses resources when appropriate
Demonstrates Adaptability
Handles day to day work challenges confidently
Is willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid change
Shows resilience in the face of constraints, frustrations, or adversity
Demonstrates flexibility
Customer Service o Demonstrates positive interpersonal relations in dealing with fellow employees, supervisors, physicians, patients as well as outside contacts so that productivity and positive employee/patient relations are maximized.
Uses Sound Judgment
Makes timely, cost effective, and sound decisions
Makes decisions under conditions of uncertainty
Shows Work Commitment
Sets high standards of performance
Pursues aggressive goals and works efficiently to achieve them
Commits to Quality
Emphasizes the need to deliver quality products and/or services
Defines standards for quality and evaluates products, processes, and services against those standards
Manages quality
Improves efficiencies
PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.
WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment may occur.
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Employment Type: Per Diem
Location: Remote
Compensation: $19.50 - 26.29 per hour
Compensation packages based on your unique skills, experience, and qualifications
Responsibilities
Monitors assigned worklists and emails to provide front end review for authorization and to answer any questions related to authorizations.
Contacts patients to discuss OOP cost, offer assistance options (if available), and coordinate outreach for patient plan initiation (if applicable).
Reviews weekly denial report, resolves issues including submitting retro authorization requests or front-end appeals.
Adheres to workflow and if issues arise escalates to Supervisor promptly.
Adheres to confidentiality, state, federal, and HIPAA laws and guidelines with regard to patient records.
Performs other duties as requested or assigned.
Qualifications
High School diploma or equivalent required
Minimum two (2) years of experience in a patient access or financial clearance role. Oncology preferred.
Demonstrate advanced knowledge of medical terminology
Ability to navigate different systems seamlessly and able to multitask efficiently.
Must successfully complete required e-learning courses within 90 days of occupying position
Competencies:
Uses Technical and Functional Experience
Possesses up to date knowledge of the profession and industry
Accesses and uses resources when appropriate
Demonstrates Adaptability
Handles day to day work challenges confidently
Is willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid change
Shows resilience in the face of constraints, frustrations, or adversity
Demonstrates flexibility
Customer Service o Demonstrates positive interpersonal relations in dealing with fellow employees, supervisors, physicians, patients as well as outside contacts so that productivity and positive employee/patient relations are maximized.
Uses Sound Judgment
Makes timely, cost effective, and sound decisions
Makes decisions under conditions of uncertainty
Shows Work Commitment
Sets high standards of performance
Pursues aggressive goals and works efficiently to achieve them
Commits to Quality
Emphasizes the need to deliver quality products and/or services
Defines standards for quality and evaluates products, processes, and services against those standards
Manages quality
Improves efficiencies
PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.
WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment may occur.
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