Oncology Patient Revenue Specialist Job at Nuvance Health
Nuvance Health has a network of convenient hospital and outpatient locations — Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York — plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology care, and two urgent care offices. Non-acute care is offered through various affiliates, including the Thompson House for rehabilitation and skilled nursing services, and the Home Care organizations.
Summary:
Nuvance Health Cancer Center is looking for an enthusiastic and self-motivated prior authorization specialist to join the team. This role oversees system Radiation and Infusion Oncology authorizations for treatment and ordered diagnostic tests in a timely and effective manner to ensure efficient operations and delivery of patient care. The ideal candidate is patient focused, an effective communicator, self-starter, and has a keen attention to detail.
Responsibilities:
Initiates prior authorizations for medical procedures, tests, and prescriptions as requested by staff, providers, and/or insurers.
Documents all prior authorization activities and record activity in the practice management system.
Prioritizes and organizes daily messages from Providers and Support Staff through practice management systems.
Serve as liaison between patient and insurer & patient and practice.
Fulfills medical record requests for claim rejections and/or appeals.
Reviews Eligibility & Benefits to ensure correct insurance is entered prior to patients' treatment.
Reviews Orders in advance to ensure proper obtaining of authorizations prior to services being rendered for patients as required by the different insurance plans/carriers.
Identifies self-pay patients.
Maintain and Model REACH Values (Respect, Excellence, Accountability, Compassion, Honor).
Demonstrates regular, reliable, and predictable attendance.
Performs other duties as required.
Location: Carmel-PHC 670 Stoneleigh Avenue
Work Type: Full-Time
Standard Hours: 40.00
FTE: 1.000000
Work Schedule: Day 8
Work Shift: 8:00 am - 4:30 pm flex
Org Unit: 1921
Department: Chemotherapy Center
Exempt: No
Grade: S5
Salary Range:
$18.3900 - $34.1400 Hourly
Working conditions:
Essential:
We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to assure that you are considered for current or future opportunities.
Please Note :
www.lionsolutions.net is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, www.lionsolutions.net provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.
Summary:
Nuvance Health Cancer Center is looking for an enthusiastic and self-motivated prior authorization specialist to join the team. This role oversees system Radiation and Infusion Oncology authorizations for treatment and ordered diagnostic tests in a timely and effective manner to ensure efficient operations and delivery of patient care. The ideal candidate is patient focused, an effective communicator, self-starter, and has a keen attention to detail.
Responsibilities:
Initiates prior authorizations for medical procedures, tests, and prescriptions as requested by staff, providers, and/or insurers.
Documents all prior authorization activities and record activity in the practice management system.
Prioritizes and organizes daily messages from Providers and Support Staff through practice management systems.
Serve as liaison between patient and insurer & patient and practice.
Fulfills medical record requests for claim rejections and/or appeals.
Reviews Eligibility & Benefits to ensure correct insurance is entered prior to patients' treatment.
Reviews Orders in advance to ensure proper obtaining of authorizations prior to services being rendered for patients as required by the different insurance plans/carriers.
Identifies self-pay patients.
Maintain and Model REACH Values (Respect, Excellence, Accountability, Compassion, Honor).
Demonstrates regular, reliable, and predictable attendance.
Performs other duties as required.
Location: Carmel-PHC 670 Stoneleigh Avenue
Work Type: Full-Time
Standard Hours: 40.00
FTE: 1.000000
Work Schedule: Day 8
Work Shift: 8:00 am - 4:30 pm flex
Org Unit: 1921
Department: Chemotherapy Center
Exempt: No
Grade: S5
Salary Range:
$18.3900 - $34.1400 Hourly
Working conditions:
Essential:
- Some manual skills / motor coord & finger dexterity
- Little or no potential for occupational risk
- Sedentary/light effort. May exert up to 10 lbs. force
- Generally pleasant working conditions.
We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to assure that you are considered for current or future opportunities.
Please Note :
www.lionsolutions.net is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, www.lionsolutions.net provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.