Financial Counselor, Cancer Center

Job Overview:

The financial coordinator is responsible for oversight and support of the charge processes for the outpatient department including physician services. The position is also responsible for evaluating process related issues which impact the timely charging of services within the departments support, and working with department staff, IT, Charge integrity et. al. to resolve. The position is responsible for ongoing review and analysis of reports such as the DFNB, and EPIC work queues, department specific trend reports and resolution of accounts that are not billing in a timely manner. The financial coordinator obtains authorizations for all tests, treatments and medications ordered by or given by the departments. Responsible for counseling patients with any insurance concerns or questions related to insurance coverage.

Qualifications:

Required:

• High School Diploma or Equivalent
• 2 years' experience with revenue cycle, billing and prior authorizations, preferably in an oncology setting

Preferred:

• Experience with third Party Payor billing preferred. Coding experience and certification preferred
• EPIC experience preferred

Scheduling Requirements:

• Shift- 8:00am- 4:00pm
• Monday-Friday
• Full Time/Day

Essential Functions:

• Maintains accurate and up-to-date knowledge of regulatory environment related to Medicare/Medicaid, managed care, and commercial insurance reimbursement
• Responsible for ensuring regulatory compliance with all relevant agencies.
• Obtains all insurance prior authorizations for patients with outpatient treatments and procedures, radiological and surgical procedures within 72 hours of scheduled procedure
• Collaborates with nursing, pharmacy and representative from drug replacement program as well as patients with Charity Care
• Providing timely and accurate insurance and patient demographic information to facilitate timeliness of scheduling patients for treatments
• Monitors EPIC work queues and daily denial reports. Addresses all edits within 24 hours. Troubleshoots and resolves all edits timely and effectively and makes corrections as needed
• Reports any discrepancies and trends to department manager in a timely manner
• the process of patients referred from private physician offices for infusion services in the FBCCC Infusion Suite
• Ensures proper documentation and all prior authorizations for treatments have been obtained
• Maintains communication with nursing, pharmacy and scheduling of patient's appointments
• Maintains communication and collaboration with hospital and physician billing departments monitoring audits of denials and payments of claims
• Demonstrates flexibility in response to unexpected changes in work volume and staffing. Exhibits proper time management of assignments and job duties without supervision
• Completes weekly and/or monthly billing reports and data requests as requested

Benefits and Perks:

At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees' physical, emotional, social, and financial health.

• Paid Time Off (PTO)
• Medical and Prescription Drug Insurance
• Dental and Vision Insurance
• Retirement Plans
• Short & Long Term Disability
• Life & Accidental Death Insurance
• Tuition Reimbursement
• Health Care/Dependent Care Flexible Spending Accounts
• Wellness Programs
• Voluntary Benefits (e.g., Pet Insurance)
• Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more!

Choosing RWJBarnabas Health!

RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.

RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.