Eligibility Verification and Benefits Specialist

Anderson Area Cancer Center is positioning community oncologists to drive the future of cancer care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer. Our team is bringing together leaders to the market place to help drive AACC's mission and vision.

Why join us? This is an exciting time to join AACC. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of community oncologists and the patients they serve.

Job Description:

The Eligibility Verification and Benefits Specialist will be responsible for the daily operations of the Eligibility Verification and Benefits. This role functions as expert related to payer benefit plan designs and eligibility. The Eligibility Verification and Benefit specialist ensures AACC confirms patient’s insurance coverage for reimbursement before treatment occurs.

Responsibilities:

• Oversees the day-to-day operations of the Eligibility Verification and Benefits
• Maintain an expert knowledge of insurance payer networks, benefit plan designs and COB guidelines
• Ensure insurances are properly defined and chosen to allow for accurate downstream workflows such as fee schedules.
• Working knowledge of eligibility tools.
• Assist with the development of policy and procedures and workflows ensuring best practice.
• Provide backup coverage for the billing team, as needed.
• Routinely communicates with RCM leadership, escalating issues as necessary.
• Escalate global issues and other problems to RCM leadership.

Key Competencies:

• Excellent customer service skills.
• Excellent interpersonal and communication skills.
• Demonstrates positive and professional behavior in the workplace.
• Ability to monitor/access performance of self, other individuals, or organization to recommend improvement to workflow, processes, and procedures.
• Knowledge of clinic office procedures, medical practice and medical terminology including drug indications.
• Strong organizational skills and attention to detail
• Proficient in the use of end-user computer applications regarding productivity (MS Word, Excel, Outlook, payer sites), database and patient scheduling and other medical information systems.

Qualifications:

• Extensive knowledge of insurance payer guidelines and medical policies.
• Knowledge of ICD10, CPT and HCPCS codes required.
• Strong technical skills in Microsoft Office Suite (Word, Excel, PowerPoint).
• Associates degree or equivalent experience preferred.
• 1 years of experience in a community oncology setting preferred.
• 3 years of RCM healthcare experience preferred including authorizations.

Job Type: Full-time

Pay: $12.00 - $15.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Disability insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: In person

Salary : $12 - $15