Insurance Verification Representative

New Mexico Oncology Hematology Consultants Ltd. is seeking a caring, compassionate, and patient orientated Patient Navigation/Outreach Assistant.

We are, a freestanding, physician-owned, comprehensive cancer center based in Albuquerque, NM with a satellite clinic in Gallup, New Mexico. We are an Oncology Medical Home, with a focus on early intervention for patient symptoms, resulting in low hospitalization rates. Our Physicians have won Top 10 Docs in the city of Albuquerque multiple times.

As a successful Medical oncology and Radiation oncology practice, we have expanded our medical practice to include Survivorship, Palliative care, Primary Care, Rheumatology, Pulmonary, Urology, Surgical ENT, General Surgery and Neurology.

Make a difference in the lives of patients by joining a physician-led, partnership organization with a patient-centered and evidenced-based medicine approach. You will have the tools, resources, and professional freedom you need to deliver outstanding patient care.

POSITION SUMMARY:

This position is a remote position, however, candidate must live in the State of New Mexico.

The Insurance Verification Representative is responsible for ensuring that all scheduled patients’ insurance has been verified prior to their appointment. This position is also responsible for any errors that are found in obtaining an insurance verification and resolving any missing information (if possible). The Insurance Verification Representative supports the company’s overall mission, vision while demonstrating and adhering to the core values in performing these duties timely and efficiently.

ESSENTIAL FUNCTIONS:

Reasonable Accommodations Statement:

To perform this job successfully, an individual must be able to perform the essential duties satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

Essential Functions Statement(s):

• Verifies all insurance through the appropriate means on every scheduled patient.
• Addresses any errors found while verifying the patients insurance prior to the appointment if applicable.
• Completes all insurance verifications for patients on the new patient tracking log.
• Resolves issues concerning missing vital information from patients scanned requisition record.
• Ensures timely processing of benefit information and seek assistance from management when necessary.
• Contacts patients as necessary to obtain insurance information.
• Is the point person for all deceased patient accounts and notify the appropriate individuals.

POSITION QUALIFICATIONS:

Competency Statement(s):

• Active Listening - Ability to actively attend to, convey, and understand the comments and questions of others.
• Adaptability - Ability to adapt to change in the workplace.
• Analytical Skills - Ability to use thinking and reasoning to solve a problem.
• Applied Learning - Ability to participate in needed learning activities in a way that makes the most of the learning experience.
• Communication - Ability to communicate effectively with others using the spoken and written word.
• Customer Oriented - Ability to take care of the internal and external customer’s needs while following company procedures.
• Initiative - Ability to make decisions or take actions to solve a problem or reach a goal.
• Judgment - The ability to formulate a sound decision using the available information and resources. Strong business and political acumen.
• Organized - Possessing the trait of being organized or following a systematic method of performing a task and/or presenting material.
• Problem solving—the individual identifies and resolves problems in a timely manner and gathers and analyzes information skillfully.
• Safety/Compliance Awareness - Ability to identify and correct conditions that affect employee/patient safety and privacy compliance.

SKILLS & ABILITIES:

Education and Experience:

• High School Graduate or General Education Degree (GED).
• Two - Four years related experience.
• Knowledge of CPT/HCPCS and ICD-10 codes.
• Experience working with and Knowledge of Insurance Eligibility requirements
• Experience working with and ability to understand the billing specialties involved (Chemo, Radiation Oncology, Rheumatology, Radiology, etc.)

Computer Skills:

Intermediate Computer Skills (Microsoft Office Word and Excel), Centricity, Insurance Websites

Compensation:

Competitive Pay D.O.E.

Generous Benefits Package

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person