Patient Benefits Coordinator

Job Description

Job Description

Ironwood Cancer & Research Centers has beautiful state-of-the-art integrated Cancer and Women's Centers, with locations strategically located throughout the Valley. Each one provides a superior cancer care environment with a full spectrum of cancer related services for patients. Our multi-disciplinary team approach includes surgical oncology, medical oncology, radiation oncology, women's centers, diagnostic imaging services, social service support, nutritionist, integrative services, and genetic counseling.

Mission Statement : To serve the community by providing quality, comprehensive cancer care which respects the values and needs of each individual.

Overview : We are currently looking for a qualified and detail oriented Benefits Coordinator. The Coordinator creates the copay log daily to ensure that patients have a clear understanding of what their copays, coinsurance, cost of treatment, OOP may be prior to service. This is a full time position working 40 hours per week, Monday - Friday schedule.

Essential Duties and Responsibilities :

• Complete assigned daily log, maintaining 7 days out consistently.
• Verify insurance deductible and out of pocket accumulations prior to treatment
• Verify cost of treatments have been generated to be reviewed with the patient.
• Review notes for accurate cost estimates for each individual treatment plan.
• Review accounts notes for any pending adjustments or balances that need to be set up or set up on payment plan.
• Communicates with management regarding treatment concerns and patients benefits.
• Strong ledger knowledge ability to accurately assess insurance payments and compare to verification for accuracy. Ability to identify correct balances and credits on account
• Complete cost estimates for CT/PET scans, radiation therapy, chemotherapy and injections, estimating patient responsibility.
• Verify and/or enroll patients for foundation, copay/card or financial drug assistance programs.
• Must be able to type and work on a computer.
• Performs other duties as requested by supervisor, administrator, or physicians

Knowledge and Skills :

• Knowledge of all insurance types and benefit structures.
• Knowledge of Medical Office operations.
• Knowledge of medical terminology.
• Knowledge of chemotherapy related drugs, supplies utilized and SNF, LTC and Hospice in relation to insurance benefits is preferred.
• Knowledge of governmental, legal and regulatory provisions related to collection activities.
• Knowledge of CPT, ICD-9, ICD-10, HCPCS coding a plus.
• Knowledge of basic mathematics. Accounting knowledge a must.
• Attention to detail is required.
• Able to be in a seated position, talk on the phone, repetitive keyboard usage and clarity of vision at 20 inches or less.

Job Requirements:

• Minimum 3 years of medical insurance experience to include knowledge of all insurance types and benefit structures, heavy emphasis on insurance verification.
• Oncology experience a plus.
• High School Diploma; additional education preferred.

We offer a competitive salary and a comprehensive benefit package including health insurance, 401K and a caring work environment. We are an E.O.E.

Please visit our website at "Outsmarting Cancer One Patient at a Time"