Oncology Insurance Coordinator
Oncology Insurance Coordinator
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Salary Not Disclosed
1 Vacancy
Job Description
GENERAL SUMMARY/ OVERVIEW STATEMENT:
The Oncology Financial Coordinator is a nonclinical staff member of the Financial Navigation Team within the Cancer Center. This individual is part of an integrated care team that focuses on coordinating the financial aspect to patient care in the Cancer Center. The coordinator will work with patients and their families beginning with an initial evaluation for coverage and obtaining confirmation of prescription benefits and will continue to assist patients throughout their care in the Cancer Center. Primary responsibilities include verification of insurance benefit eligibility insurance precertification and authorization as well as verification of prescription benefits. This position works together with the Clinical Navigator and primary oncology team to assist patients with identification of problems around reimbursement and affordable care.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
The responsibilities of the Administrative Financial Navigator include and are not limited to the following: Obtains detailed insurance benefit information for all aspects of cancer treatment including but not limited to: Outpatient prescription Follow up clinic visits Completes liability estimates based on gaps in coverage Completes administrative functions associated with all Prior Authorization needs Works with Clinical Financial Navigator on drug grants and program options as well as other coverage options for under and uninsured patients Receives error queue denial and appeal requests pulls applicable information and formalizes with Clinical Financial Navigator Manages financial discussions with patients post initial Clinical Navigation meeting Manages necessary insurance product needs including Medicaid and other program enrollment Work with Cancer Center Access team to identify potential payer issues prior to patient visit Collaborate with International Office where applicable Attend appropriate disease center meetings
SKILLS/ ABILITIES/COMPETENCIES REQUIRED:
Must be able to provide excellent customer service Ability to communicate effectively and sensitively with patients their families and hospital staff Must posses s excellent organizational and prioritizing skills with the ability to multitask Ability to problem solve work under pressure and under very tight deadlines Energetic team player with strong communication and interpersonal skills positive attitude Must have adequate typing skills and be familiar with personal computers Bilingual in English and another language a plus
EDUCATION:
Bachelors degree in health related field (science social work e.g) or equivalent experience preferred* 23 Years Professional Work Experience preferred
EXPERIENCE: Excellent Customer Service Skills 57 years work in healthcare environment (preferred) Adequate computer phone and typing skills Microsoft Word and Excel (preferred) Strong communication interpersonal team skills Knowledge of third party payers government programs insurance regulations managed care contracting medical terminology and clinical considerations related to cancer care Knowledge of medical terminology and coding a plus Willingness to continually learn and grow as a member of a team and department The right candidate is trustworthy has a positive attitude quick mind and thrives while working under strict timelines. We are looking for a fast learner of public third party payer regulations to ensure reimbursement so that MGH can continue to provide the highest quality of care in the industry for some of our most vulnerable citizens. We will gladly train the right candidate.
Massachusetts General Hospital is an Equal Opportunity Employer. By embracing diverse skills perspectives and ideas we choose to lead. Applications fromprotected veterans and individuals with disabilities are strongly encouraged.Required Experience:
IC
Employment Type
Full-Time
