OTHER

FEED

UNKNOWN

On behalf of the patient, coordinates physician referrals, schedules oncology related medical appointments within and outside the practice, resolves insurance billing and coding issues, contacts agencies. ESSENTIAL DUTIES AND RESPONSIBILITIES: -Prior to a patients first appointment, contacts or meets with patient to obtain basic chart information (diagnosis, referring physician, personal data, insurance, etc).

Overview:
SCOPE:
Under direct supervision, serves as the patients medical liaison among the practice, hospital, support services, and payors. Relies on instructions and pre-established guidelines to perform the functions of the job. Learns how to appropriately apply department procedures & policies. Escalates issues to supervisor for guidance. Performs a wide variety of tasks. A certain degree of creativity and latitude is required. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.
 
ESSENTIAL DUTIES AND RESPONSIBILITIES:
-Prior to a patients first appointment, contacts or meets with patient to obtain basic chart information (diagnosis, referring physician, personal data, insurance, etc). Asks patient questions regarding medical style in order to match with Network physician style (or bed side manner). Inquires about patients family, medical, social services needs.
-On behalf of the patient, coordinates physician referrals, schedules oncology related medical appointments within and outside the practice, resolves insurance billing and coding issues, contacts agencies. Ensures accurate document is in the medical chart. 
-Responsible for insurance verification and eligibility, assessment of patient financial requirements, educating patients on insurance benefits and co-payments. Obtains pre-authorization of services. Obtains and maintains accurate patient demographics. May assist patients with obtaining financial resources.
-Provides educational materials to patient and family. Updates, orders and maintains patient education materials including brochures, videos, and teaching materials. 
-Refers patient or family members to agencies and services such as housing, transportation, pharmaceutical needs, beauty supplies (wigs), prosthesis, counseling, etc. Networks within the community to learn about and maintain an agency & services resource list. 
-Researches and responds to routine inquiries in a timely and professional manner. Requests assistance from more senior coworkers & supervisor to resolve non-routine issues. 

MINIMUM QUALIFICATIONS:
High School diploma or equivalent required. Some college preferred. At least two (2) years of directly related experience such as medical coding or billing, patient advocate, or social services, required. Must demonstrate the ability to verbally articulate information and questions with others in order to perform responsibilities effectively. Must be personable. Proficiency with computer systems, medical billing systems, and MicroSoft Office Outlook & Word, required. 
PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit or stand and talk or hear. The employee frequently is required to use hands to finger, handle, or feel and occasionally required to reach with hands and arms. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus.
WORK ENVIRONMENT:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed in a clinical environment and requires frequent interaction with staff, patients and the public. Work may require minimal travel by automobile to other USON buildings.

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