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Maryland Oncology Hematology · 4 months ago

Insurance Reviewer - Clinical

Knoxville, TN

Full-time

Onsite

Mid Level

3+ years exp

Maryland Oncology Hematology is dedicated to providing compassionate care to cancer patients and their families. As an Insurance Reviewer, you will determine the financial responsibility of patients based on treatment plans and serve as a resource across multiple departments, ensuring proper communication and documentation of patient financial statuses.

Health CareHospitalMedicalOncology

Responsibilities

Your role is unique because you work closely with multiple departments to determine financial responsibility for our patients

The unique talents of an insurance reviewer allow them to understand treatment plans and ensure proper steps are taken for approval of these treatment plans

This position requires attention to detail in order to communicate and document process details to keep other members of the team up-to-date on a patient’s financial status

Superior organization skills will allow you to track patient information quickly when necessary

Being able to build trust with providers and other clinical team members makes you an asset to the practice

Your expertise allows you to determine the financial considerations we will need to keep in mind in order to move forward with a patient’s treatment plan

Your teamwork skills allow you to work closely with our patient advocate and patient assistance team members to initiate the process of determining any possible financial need

In conversations with team members, you will be a friendly and respectful resource

You understand how the insurance verification and pre-authorization processes play into your role and work well with those team members

Demonstrating understanding of patient confidentiality allows you to protect patient and clinic information

Your go-getter work ethic will have you ready to jump in and help out with any additional tasks

Qualification

Medical terminologyMedical codingInsurance verificationMS WordMS ExcelMS OutlookTeamworkAttention to detailCommunication skillsConfidentialityWork ethic

Required

A high school diploma or equivalent is required with a proficiency in MS Word, Excel, Outlook, etc

Your knowledge of medical terminology and medical coding is required

Minimum three (3) years medical insurance verification and authorization required

The position will require sitting for long periods of time with occasional stooping, bending and stretching for supplies

Any lifting should be limited to 30 pounds or less

You will need sufficient manual dexterity for operating office equipment (keyboard, telephone, copier, etc.), and vision and hearing must be adequate for viewing computer screens for prolonged periods of time and hearing customers during in-person and telephone conversations

This position is fully in-office in Knoxville, Tennessee with no remote or hybrid opportunities. You are located within a commutable distance or in the process of relocating to the area

Preferred

Associates degree in Healthcare, LPN state license and registration preferred

You may or may not be bilingual with previous oncology/hematology experience, but either of those qualifications would be a major benefit to you in this position