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Oncology Financial Navigator

Holzer Health System
Full-time
On-site
Gallipolis, OH

The Oncology Financial Navigator is the key person responsible for the following: Initiation and coordination of pre-certification and prior authorization for patients with their insurance carrier; insurance and eligibility verifications and assessment of financial requirements of recommended cancer treatment; providing financial counseling to patients regarding insurance benefits, co-payments, and maximum out-of-pocket amount pertaining to cancer treatment; researching and securing drug replacement programs for chemotherapy/immunotherapy medications for eligible patients; determining patient eligibility for any Federal, State, and Pharmaceutical assistance programs; validation and coding of radiation charge entry daily; and working closely with the business office to ensure timely claim and account follow-up for Cancer Center patient accounts. The Oncology Financial Navigator is in constant communication with patients, providers, nursing staff, radiation staff, and third-party payers. The Oncology Financial Navigator must also have a functional knowledge of patient access and billing operations in the field of oncology and hematology.

 

Education, Work Experience and Licensure:

  • Associates Degree in Medical Coding or related field required. Related work experience with Coding, billing and insurance precertification may qualify in lieu of education. 

  • Bachelor’s degree preferred

  • Project Management Experience preferred

  • Minimum of five years medical business office experience with insurance procedures and patient interaction required (delete)

  • Experience in medical billing and insurance pre-certification preferred

  • Strong (delete) knowledge of diagnostic ICD-10 procedural (CPT) coding and cancer terminology

  • Prior experience supporting the Revenue Cycle systems utilized at Holzer Health System preferred (delete)

  • Basic Microsoft Office computer skills including word processing and Outlook

  • Or other experience as deemed appropriate by Director