BILLING MANAGED CARE COORDINATOR, RADIATION ONCOLOGY

4 weeks ago

Boston MA United States Partners Healthcare System Full time
GENERAL SUMMARY/ OVERVIEW STATEMENT:

Working under the general direction of the Senior Billing Manager, the Managed Care Coordinator will help ensure that all professional radiation oncology charges are processed accurately by confirming a patient's insurance requirements are in place prior to treatment delivery. It is essential for the successful operation of the department that approvals are in place to maximize reimbursement. This may require obtaining a referral or an authorization for treatment. The Managed Care Coordinator may also assist in making sure that all the charges have been completed and coded properly. Any delay or error in the front-end process will cause insurance denials and disrupt cash flow. This position requires close attention to detail and will work daily with our Managed Care Supervisor along with the managed care teams at BWH & DFCI and the administrative personnel within our department.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

* Ensure correct patient demographic and insurance data is in ARIA and Epic.
* Verify patient insurance eligibility and assist in obtaining patient referrals/authorizations for services from physicians and/or insurance companies when necessary.
* Assist in rectifying denied claims (wrong insurance, no referral, bad address, wrong ID number, etc…)
* Assist with telephone inquiries and written inquiries from patients regarding their accounts.
* Utilize audit reports to identify patients with missing authorizations or discrepancies with their insurance coverage.

§ Requests and reviews documentation for appeal to third party

§ Reviews denied claims for possible appeal

§ Communicates with third party carriers

§ Deals with hospital, BWPO and outside organizations' personnel on managed care /contract issues.

§ Utilizes on-line tools (i.e., NEHEN, carrier websites)

§ Problem solves as required, updates management of critical trends, information and issues

QUALIFICATIONS: (MUST be realistic, neither overstated nor understated, and related to the essential functions of the job.)

* High School Diploma
* Prior experience in healthcare billing preferred.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED: (MUST be realistic, neither overstated nor understated, and related to the essential functions of the job.)

* Strong computer skills necessary to handle a number of different routines and to understand complex patient accounts.
* Good communications skills to be able to interact with physicians, patients, insurance representatives, administrative contacts, etc.
* Ability to function independently with only general supervision. Displays initiative and uses good judgment.
* Need to be able to troubleshoot problems, develop workable solutions to problems, and to follow-up on problem resolution. Must be able to prioritize work and to handle multiple, sometimes conflicting, tasks using sound judgment.

  • Billing Managed Care Coordinator, Radiation Oncology

    4 days ago

    Boston, United States Brigham and Women's Hospital Full time

    Job Description - Billing Managed Care Coordinator, Radiation Oncology (3284875) Billing Managed Care Coordinator, Radiation Oncology - ( 3284875 ) Working under the general direction of the Senior Billing Manager, the Managed Care Coordinator will help ensure that all professional radiation oncology charges are processed accurately by confirming a...

  • Billing Managed Care Coordinator, Radiation Oncology

    4 days ago

    Boston, United States Brigham & Women's Hospital(BWH) Full time

    GENERAL SUMMARY/ OVERVIEW STATEMENT: Working under the general direction of the Senior Billing Manager, the Managed Care Coordinator will help ensure that all professional radiation oncology charges are processed accurately by confirming a patient's insurance requirements are in place prior to treatment delivery.It is essential for the successful operation...

  • Radiation RN

    3 days ago

    Irving, TX, United States US Oncology, Inc Full time

    Radiation RNOverview Texas Oncology is looking for a Radiation Oncology Registered Nurse (RN) to join our team! This position will support the Texas Center for Proton Therapy location in Irving,TX (1501 W Royal Ln, Irving, TX 75063). This is Full-time position will work 7:00am - 3:30pm Monday - Friday with no weekends, call, or major holidays. This...

  • Radiation Therapist

    2 weeks ago

    Chapel Hill, NC, United States UNC Health Care Full time

    Description Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.Summary:Administers radiation therapy treatments to oncology patients. Works includes assessment, intervention, calculations, documentation and patient education. Works is performed...

  • Radiation Therapist

    1 month ago

    Chapel Hill, NC, United States UNC Health Care Full time

    Description Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.Summary:Administers radiation therapy treatments to oncology patients. Works includes assessment, intervention, calculations, documentation and patient education. Works is performed...

  • Registered Nurse

    3 days ago

    Fort Worth, TX, United States US Oncology, Inc Full time

    Registered Nurse - Radiation OncologyOverview Texas Oncology is looking for a Registered Nurse to join our team! This position will support the Ft Worth location. This position will be either a level 1 or Sr based on candidate work experience. Texas Oncology is the largest community oncology provider in the country and has approximately 600+ providers in...

  • Travel Radiation Therapist

    2 weeks ago

    New Bedford, MA, United States Epic Oncology Staffing Full time

    Epic Oncology Staffing is seeking a travel Radiation Therapist for a travel job in New Bedford, Massachusetts.Job Description & RequirementsSpecialty: Radiation TherapistDiscipline: Allied Health ProfessionalStart Date: 06/03/2024Duration: 8 weeks40 hours per weekShift: 8 hoursEmployment Type: TravelA healthcare facility in Massachusetts is seeking a locum...

  • Oncology RN

    3 days ago

    Palestine, TX, United States US Oncology, Inc Full time

    Oncology RNOverview Texas Oncology is looking for an Oncology Registered Nurse (RN) to join our team! This position will support the medical oncology, radiation oncology, and infusion departments for the Palestine and Nacogdoches locations. This is a full-time Monday - Friday 8am-5pm position with no weekends, call, or major holidays. Texas Oncology is the...

  • Physician Assisistant

    4 days ago

    Boston, United States Brigham and Women's Hospital Full time

    GENERAL SUMMARY/ OVERVIEW STATEMENT: The physician assistant (PA) is a licensed provider who has acquired a broad range of knowledge and skills through the successful completion of a physician assistant program. The PA is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and...

  • Surgical Oncology Administrative

    1 week ago

    Boston, MA, United States Mass General Brigham Full time

    DescriptionBrigham and Women’s Hospital is dedicated to: serving the needs of our local and global community providing the highest quality health care to patients and their families expanding the boundaries of medicine through research educating the next generation of health care professional Every employee plays an important role in providing a positive...

  • Nurse Practitioner

    2 weeks ago

    Los Angeles, CA, United States UCLA Health Full time

    General Information Press space or enter keys to toggle section visibility Work Location: Los Angeles, USA Onsite or Remote Fully On-Site Work Schedule Monday-Friday 0800-1630 Posted Date 11/28/2023 Salary Range: $84.82 - 121.13 Hourly Employment Type 2 - Staff: Career Duration Indefinite Job # 9634 Primary Duties and Responsibilities Press...

  • Nurse Practitioner APRN

    2 weeks ago

    San Antonio, TX, United States Mission Oncology Partners Full time

    Mission Oncology Partners San Antonio is seeking an APRN to join our team in San Antonio, Texas. The Advanced Practice RN works closely with the physician to provide quality patient care in the Radiation Oncology field.At Mission Oncology Partners we recognize that achieving the best treatment outcomes goes beyond advanced technology and sophisticated...

  • Travel Radiation Therapist

    3 days ago

    Antioch, CA, United States Epic Oncology Staffing Full time

    Epic Oncology Staffing is seeking a travel Radiation Therapist for a travel job in Antioch, California.Job Description & RequirementsSpecialty: Radiation TherapistDiscipline: Allied Health ProfessionalStart Date: 08/05/2024Duration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelA healthcare facility in California is seeking a locum...

  • Travel Radiation Therapist

    2 weeks ago

    Greenbrae, CA, United States Epic Oncology Staffing Full time

    Epic Oncology Staffing is seeking a travel Radiation Therapist for a travel job in Greenbrae, California.Job Description & RequirementsSpecialty: Radiation TherapistDiscipline: Allied Health ProfessionalStart Date: 05/27/2024Duration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelA healthcare facility in San Rafael, CA is seeking a...

  • Travel Radiation Therapist

    2 weeks ago

    Abilene, TX, United States Epic Oncology Staffing Full time

    Epic Oncology Staffing is seeking a travel Radiation Therapist for a travel job in Abilene, Texas.Job Description & RequirementsSpecialty: Radiation TherapistDiscipline: Allied Health ProfessionalStart Date: ASAPDuration: 13 weeks36 hours per weekShift: 12 hours, daysEmployment Type: TravelA healthcare facility in Abilene Tx is seeking a locum Radiation...

  • Travel Radiation Therapist

    2 weeks ago

    Duluth, MN, United States Epic Oncology Staffing Full time

    Epic Oncology Staffing is seeking a travel Radiation Therapist for a travel job in Duluth, Minnesota.Job Description & RequirementsSpecialty: Radiation TherapistDiscipline: Allied Health ProfessionalStart Date: 06/03/2024Duration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelA healthcare facility in Duluth, MN is seeking a locum...

  • Travel Radiation Therapist

    1 week ago

    Midland, TX, United States Epic Oncology Staffing Full time

    Epic Oncology Staffing is seeking a travel Radiation Therapist for a travel job in Midland, Texas.Job Description & RequirementsSpecialty: Radiation TherapistDiscipline: Allied Health ProfessionalStart Date: 06/03/2024Duration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelA healthcare facility in West Texas is seeking a locum...

  • Travel Radiation Therapist

    1 week ago

    Antioch, CA, United States Epic Oncology Staffing Full time

    Epic Oncology Staffing is seeking a travel Radiation Therapist for a travel job in Antioch, California.Job Description & RequirementsSpecialty: Radiation TherapistDiscipline: Allied Health ProfessionalStart Date: 07/01/2024Duration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelA healthcare facility in Norther California, is seeking...

  • Travel Radiation Therapist

    2 days ago

    Antioch, CA, United States Epic Oncology Staffing Full time

    Epic Oncology Staffing is seeking a travel Radiation Therapist for a travel job in Antioch, California.Job Description & RequirementsSpecialty: Radiation TherapistDiscipline: Allied Health ProfessionalStart Date: 06/10/2024Duration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelA healthcare facility in the San Francisco Bay area, is...

  • Travel Radiation Therapist

    2 weeks ago

    Sidney, MT, United States Epic Oncology Staffing Full time

    Epic Oncology Staffing is seeking a travel Radiation Therapist for a travel job in Sidney, Montana.Job Description & RequirementsSpecialty: Radiation TherapistDiscipline: Allied Health ProfessionalStart Date: 06/10/2024Duration: 13 weeks60 hours per weekShift: 12 hours, daysEmployment Type: TravelA healthcare facility in Eastern Montana is seeking a locum...