What are the responsibilities and job description for the Radiation/Oncology Verification Specialist position at Urology Clinics Of North Texas Pllc?
Responsible for verifying insurance benefits, obtaining precertification or predetermination if required along with making sure a valid referral is on file if needed for both radiation & medical oncology as well as provide financial counseling to patients prior to their scheduled appointments.
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Contacts the insurance company for eligibility & benefits, obtaining precertification or predetermination if required along with making sure a valid referral is on file if needed.
Answer incoming department calls and assist patients with their benefit inquiries & quotes. - Communicates with Physicians MA to obtain clinical information as needed for precertification and/or predeterminations.
- Documents benefits in insurance maintenance screen of medical billing system.
- Contacts Patient to notify them of their portion for upcoming appointment.
- Documents any communication made to patient in chart notes of medical billing system.
- Documents amount to collect for upcoming visit within the patients appointment outside of any copayments.
- Reviews the ledger for any outstanding balances and notifies collector via Nextgen PM email.
- Maintain department target date of 10 days out.
- Assist department with schedules in the event of an absence or staff shortage.
- Rotating Kitchen & Fax Duty
Education and/or Experience:
- High school diploma or equivalent.
- Effective communication skills, including verbal, written and telephone.
- Proficient in mathematical skills
- Able to multitask, be motivated and team player with positive attitude
- Experience with insurance verification of benefits as well as precertification, predeterminations, and referrals.
- Medical and Radiation oncology experience necessary.
- Advanced Radiology experience a plus
- Urology and medical terminology knowledge
