Job Summary:      Responsible for verifying and collecting patient due balances, posting charges, and reviewing journals for infusion visits. Position is hybrid work model- 3/4 days remote and 1/2 in office. In office training mandatory in Zephyrhills. Preferred experience with obtaining prior authorizations and benefit investigations. Preferred drug prior authorization experience

**Minimum 1 year of related experience required.**

WHAT DOES FLORIDA MEDICAL CLINIC ORLANDO HEALTH HAVE TO OFFER ITS EMPLOYEES?

We offer a wide choice of compensation and benefit programs that are among the best.  From competitive salaries to retirement plans. We make every effort to take care of the people who make our company great.

• Gives you an employer that you will have pride in working for
• Provides excellent training programs and opportunities for growth
• Offers Medical Benefits including:
  • Employer Contributions to HSA high deductible plan
  • Discounts at our medical facilities
  • Cigna Open Access OAPIN & OAP plans
• Supports Incentive based Wellness Programs
• Offers company sponsored Life Insurance with buy-up provisions
• Provides Dental, Vision, Long and Short Term Disability, Accident & Illness policy options
• Supports Paid Time Off and Holidays
• Gives generous 401K plan with annual 3% Employer contribution after one year of employment
• Values and appreciates its employees
• Boasts a reputation for superior health care and quality service

Essential Functions of the Position:

• Financial Counseling
  • Verifies eligibility and benefits for all patients in Infusion Lab
  • Calculates patient financial responsibility for treatments
  • Meets with patient to review benefits and explain patient’s financial responsibility
  • Coordinates payment plans if approved by Patient Collections Manager
  • Reviews Infusion schedules prior to date of service and indicates in the appointment comment field amount for Check In Clerk to collect for each visit
  • Serves as point of contact for all Infusion patients regarding insurance eligibility and benefits issues
  • Requests referrals and obtains authorizations from insurance companies for all Infusion lab appointments
  • Enters referral authorization information into Practice Management System
  • Prepares patient education packets for new chemo patients
  • Schedules patients for education meeting

• Patient Assistance Programs
  • Maintains current files and information on all patient assistance programs by scanning to chart and copying to collector
  • Reviews available programs with patients 
  • Assists patients with completing documents and forms needed by assistance programs
  • Responsible to follow up on status of assistance programs and tracking coverage available on programs
  • Handles calls from pharmacy companies and foundations
  • Meets with Pharmacy reps regarding patient assistance programs

• Assists traffic on phones

• • Makes appointments
  • Takes messages
  • Assists with medication refill requests
  • Handles patient requests or needs
  • Assists vendors
  • Direct calls to the proper individual
• Posts charges and reviews journals
  • Posts chemotherapy and hospital charges
  • Makes corrections to journals as needed
  • Ensures ailment, insurance plan, provider, finance, department, date, diagnosis, and CPT are correct for each charge
  • Reviews note if charge is in question. If unable to resolve, contacts office staff to clarify issue.
  • Ensures correct NDC identifications are noted and attached to appropriate CPTs
  • Reviews billing with providers when applicable
  • Addresses all tasks in a timely manner
  • Works hold report on a bi-weekly basis and releases claims when appropriate. Follows up if no response.
  • Works closely with Physician Support Services when requests are made to place provider charges on hold for audit / review, as well as, release claims once reviewed

Additional Responsibilities:

• Maintains an organized and clean work area
• Serves as back up to front and back office
• Performs other incidental and related duties as required and assigned

Physical and Mental Demands:

• Normal physical ability; able to sit for long periods
• Normal concentration and normal complexity of decision making
• High level verbal and written communication skills
• Above average ability to manage multiple tasks simultaneously

 Occupational Exposure:

• Low risk exposure to bloodborne pathogens and chemical hazards

 Job Qualifications:

• High school graduate or GED equivalent
• Strong customer service orientation
• Excellent telephone etiquette
• Strong team player
• Basic computer proficiency
• Minimum 1 year of related experience required

#IND123

 

We are an Equal Opportunity Employer and make employment decisions without regard to race, gender, disability or protected veteran status

Florida Medical Clinic Orlando Health is a drug-free workplace and maintains a policy in which new hires will be required to submit to pre-employment drug testing. This policy is intended to comply with applicable laws regarding drug testing and any privacy rights

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