Patient Financial Coordinator

Job Description

Job Description

Description :

The Patient Financial Coordinator role is responsible for creating an environment where knowledge and information regarding patient services being rendered, approved and charged is communicated effectively at the client level to maximize reimbursements. Excellent communication skills are required to interact with clients, patients, and internal partners daily.

Essential Duties and Responsibilities

• Submit referral, precertification and / or authorization for Radiation Oncology, Radiology, and / or Urology services within required timeframes to positively impact DSO for 100% of patients that require authorization.
• Confirm insurance has been verified to include network and payor participation; prior to patient visit to positively impact DSO.
• Weekly attendance at required client meetings as liaison between the Radiation Oncology department and Billing Department for both RBS and the client.
• Obtain knowledge of industry standards for Radiation Oncology, Radiology, and / or Urology. Required attendance at all mandatory RBS training.
• Minimize physician peer to peer reviews.
• Successful patient engagement and financial counseling standards, to be demonstrated by measuring number of patient contacts. Must meet or exceed RBS standards.
• Understand and implement necessary processes to submit authorization for services within required time constraints of scheduled patient. Must meet this expectation for 100% of patients that require authorization.
• Monitor LCDs and insurance policy specific requirements for Radiation Therapy, Radiology, and / or Urology.
• Excellent verbal and written communication with clients, patients and peers.
• Customer service focused on both patients and clients, empathetic toward patient needs.

Other Expectations / Skills :

Key Attributes : ENCORE Values

E ncourage others’ success

N ew ideas; anticipate problems

C reate financial value for our clients

O wnership towards a solution

R each Life Balance

E mbody a positive approach

Requirements :

Physical Demands and Work Environment : The physical demands described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be provided to enable individuals with disabilities to perform the functions.

Disclaimer : This job description in no way states or implies that these are the only duties to be performed by the employee(s) of this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities.

The company is an equal opportunity employer, drug-free workplace, and complies with ADA regulations as applicable.