Oncology Insurance Coordinator

2 weeks ago

Crown Point Indiana, United States The University of Chicago Medicine Full time

Position Overview:


Become a vital part of a premier academic healthcare institution, UChicago Medicine, as an Oncology Insurance Coordinator.

UChicago Medicine represents a comprehensive academic and community health network, featuring numerous primary medical facilities in the greater Chicago area.

Our Crown Point facility is a state-of-the-art, two-story, 130,000-square-foot multispecialty care center and micro-hospital, marking a significant expansion of our academic health system into Northwest Indiana.


The Oncology Insurance Coordinator plays a crucial role in pre-registration, insurance verification, and payer authorization for both inpatient and outpatient services. This position also involves educating patients about their financial obligations and available resources.

Collaboration is key, as you will work closely with patients, families, and various clinical and administrative teams, including Patient Access and Call Center personnel, from the initial referral through clinical assessment and ongoing treatment.

This role requires extensive use of hospital revenue systems and regular interaction with patients, healthcare providers, insurance companies, and other staff members within the Hospitals and Biological Science Division.

As an advocate for patients, you will routinely engage with insurance companies to ensure accurate payments for all oncology-related services and assist in resolving any billing issues that may arise.


Key Responsibilities:
1. Collect and confirm demographic details, insurance coverage, plan benefits, and referring physician information for oncology patients.

2. Utilize all available electronic systems and tools effectively.


3. Discuss benefits and financial details with referred oncology patients and their families, preferably in person or via phone, prior to their initial evaluation.

4. Provide financial counseling and information regarding insurance to patients, families, and relevant hospital staff, either face-to-face or over the phone.


5. Gather comprehensive patient insurance benefit information from the point of initial referral, including consultations, diagnostic procedures, hospitalizations, and follow-up visits.

6. Collaborate with Social Workers and/or Pharmacy to inform patients and their families about available financial assistance options.

7. Assist patients in completing necessary applications for financial aid, free care, and special pharmacy benefits.

8. Address patient billing inquiries and facilitate the resolution of any issues.


9. Communicate and educate family members or responsible parties about any insurance-related problems or restrictions, ensuring clarity in the information provided.


10. Conduct preliminary assessments to determine family eligibility for Charity Care programs, coordinating with the Revenue Cycle's approvals team.

11. Share relevant information with the Patient Access team to minimize redundancy.


12. Initiate appropriate referrals to other insurance specialists and departments as patients transition between clinical services, ensuring continuous monitoring of benefits and obligations.

13. Maintain initial communication with the Call Center regarding intake information, and subsequently engage directly with the clinical team regarding authorization status and required clinical documentation.

14. Monitor and update insurance data, physician information, authorizations, and preferred providers.

15. Secure all necessary payer authorizations for oncology care.

16. Verify coverage and medical benefits, acquiring necessary referrals and authorizations, and confirm pre-authorizations for procedures.

17. Document insurance coverage and authorization details in the EPIC system.

Qualifications:
A Bachelor's degree or equivalent experience, along with a minimum of two years in medical insurance verification or related healthcare finance roles.

At least five years of relevant experience in healthcare registration, billing, or reimbursement is required.

Proficiency in advanced insurance authorization and registration techniques is essential.

Experience in a complex clinical environment requiring coordination of multiple services is preferred.

A background in medical terminology, particularly in oncology, is advantageous.

Familiarity with insurance training platforms (Navinet, WebMD, Passport) and EPIC training (Prelude/Cadence) is beneficial.

Why UChicago Medicine:
Join a leading healthcare provider that has been at the forefront of medical excellence since 1899. We are committed to delivering compassionate care, recognizing that each patient is an individual with unique needs. To achieve this, we seek dedicated employees who share our passion for healthcare and commitment to each other.

Our Mission:
We strive to advance medical innovation, meet community health needs, and enhance our collective knowledge. If you are looking to make a meaningful impact in healthcare, UChicago Medicine is the place for you. Here, we are engaged in work that truly matters. Join us and bring your passion to the forefront of medicine.

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