Patient Financial Specialist

2 weeks ago


Jacksonville, Florida, United States Radiation Billing Solutions, Inc Full time
Job Overview

The Patient Financial Coordinator is responsible for fostering a communicative environment regarding patient services, ensuring that all information related to services rendered, approved, and billed is effectively conveyed at the client level to optimize reimbursements.

Key Responsibilities

Authorization Management:
• Process referrals, precertifications, and authorizations for Radiation Oncology services promptly to enhance DSO for all patients requiring authorization.

Insurance Verification:
• Conduct thorough insurance verification, including network and payer participation, prior to patient appointments to positively influence DSO.

Client Liaison:
• Attend weekly client meetings as the intermediary between the Radiation Oncology department and the Billing Department.

Industry Knowledge:
• Acquire and maintain knowledge of industry standards related to Radiation Oncology and attend all mandatory training sessions.

Peer Review Minimization:
• Strive to reduce physician peer-to-peer reviews to fewer than one per week.

Patient Engagement:
• Demonstrate successful patient engagement and financial counseling, aiming to contact at least 80% of patients undergoing treatment.

Authorization Submission:
• Ensure timely submission of authorizations for services within 48 hours of notification for all patients requiring authorization.

Policy Monitoring:
• Keep abreast of Local Coverage Determinations (LCDs) and specific insurance policy requirements for Radiation Therapy.

Communication Skills:
• Exhibit excellent verbal and written communication skills with clients, patients, and colleagues.

Customer Service:
• Maintain a customer service-oriented approach, demonstrating empathy towards patient needs.

Physical Requirements

The characteristics of the work environment are representative of those encountered while performing essential job functions. Reasonable accommodations may be made for individuals with disabilities. The role requires the ability to lift and carry up to 25 pounds, sit or stand for extended periods, and perform repetitive motions. It may involve managing multiple tasks and handling stressful situations.

Qualifications

Education:
• High School Diploma.

Experience:
• At least 5 years of experience in Medical Billing and Patient Accounts.

Preferred Experience:
• A minimum of 5 years in Radiation Oncology billing and coding, along with clinical office experience.

Essential Skills

Communication:
• Strong verbal and written communication abilities.

Problem Solving:
• Capable of addressing challenges effectively.

Customer Focus:
• Dedicated to providing exceptional service to patients and clients.

Relationship Building:
• Skilled in establishing and maintaining professional relationships.

Self-Motivation:
• Ability to work independently and stay motivated.

Organizational Skills:
• Strong organizational capabilities to manage responsibilities efficiently.

Confidentiality:
• Proficient in handling sensitive patient information with discretion.



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