Overview
Do you enjoy finding solutions and getting into the details? Do you enjoy working in a fast-paced environment? Are you positive and compassionate towards others? If yes, then Cancer Partners of Nebraska is the place for you. Since 1997, we have been serving the Lincoln community and beyond focusing on personalized treatment plans. We offer comprehensive cancer and urologic care under one roof for patient convenience and support.
Cancer Partners of Nebraska (CPN) is seeking a full-time Patient Financial Specialist to help carry out its mission of providing outstanding patient care. This role is responsible for accounts receivable functions, including insurance verification, claims processing, denial management, resolution of insurer payment discrepancies, and initial patient collections.
Key Duties and Responsibilities:
Patient Insurance and Data Verification:
- Manage insurance verification tasks for the designated population.
- Enter complete, accurate patient financial data as needed.
- Ensure insurance information is updated in Registration Overlay and EHR.
- Identify under-insured and uninsured patients; refer to Benefits Coordinators / Patient Advocate Group for follow-up and potential payment arrangements.
Patient Insurance Claim Filing and Follow-Up:
- Follow up with insurance carriers on unpaid/denied claims.
- Complete and file reconsideration requests to carriers for additional documentation or corrections; prepare medical appeals.
- Maintain knowledge of payer policies to assure optimal reimbursement for all professional services.
- Process and distribute copies of billings according to clinic policies.
- Review credit balances and complete refund requests.
- Provide customer service and information as requested.
Patient Balances and Self Pay Clients:
- Analyze patient balances to ensure accuracy for Self-Pay Clients.
- Obtain timely payment from patients or other responsible parties; process patient payments.
- Identify under-insured and uninsured patients; work closely with Benefit Coordinator for follow-up and potential payment arrangements.
- Contact responsible parties to resolve delinquent accounts.
- Prepare payment plans and monitor adherence to the plan.
- Review deceased patient accounts and file Estate Notices and claims as necessary.
- Review patient credit balances and process any refund requests.
- Communicate client financial hardship to necessary organization team members.
- Assist with copay card follow-up and claim processing.
Education and Training:
- High School Diploma.
- Prefer some post-secondary education.
- Training or working knowledge of billing, insurance, and collections as it relates to a medical office.
Experience:
Minimum of two years' experience working in a medical office with billing and collection, or an equivalent combination of education and/or experience.
Knowledge:
- Understanding of insurance coverage.
- Knowledge of teamwork concepts relating to clinic policies and procedures.
- Knowledge of customer service concepts and techniques.
- Thorough knowledge of HIPAA, OSHA, and other regulatory policies.
- Knowledge of collection policies and state regulations.
Skills:
- Computer keyboarding skills; working knowledge of Microsoft Office.
- Skill in customer service, communications, problem-solving, organization, and confidentiality (HIPAA).
- Skill in identifying problems and recommending solutions.
- Skill in use of scanner, fax, and copier.
Abilities:
- Ability to multi-task and work independently.
- Ability to organize time and achieve prescribed results by deadlines.
- Ability to act in a professional and positive manner when interacting with patients.
- Ability to react calmly and effectively in stressful situations.
- Ability to communicate clearly and effectively in person, in writing, and on the phone.
- Ability to establish and maintain effective, cooperative relationships with physicians, staff, patients, families, and other customers.
Schedule:
- Day shift.
- Monday to Friday.
- No nights or weekends.
Benefits:
- 401(k).
- 401(k) matching.
- Health insurance.
- Health savings account.
- Dental insurance.
- Disability insurance.
- Vision insurance.
- Life insurance.
- Employee assistance program.
- Paid time off.
- Tuition reimbursement.
Working Conditions and Physical Demands:
- Requires sitting and standing associated with normal office environment.
- May involve walking up and down stairs to meet with patients as required.
- Requires close visual acuity including viewing computer terminal and extensive reading.
- Requires spending large amounts of time talking on the telephone.
- Must be able to receive and interpret oral communications accurately.
- Occasional stress related to workload and patients with problems.
- Office/clinic setting.
CPN is an equal opportunity employer.
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