Northside Hospital · 1 week ago
Oncology Financial Resource Specialist
Atlanta, GA
Full-time
Onsite
Mid Level
4+ years expNorthside Hospital is an award-winning healthcare institution that is expanding its services to better care for patients and communities. The Oncology Financial Resource Specialist role involves identifying coverage issues for oncology patients, coordinating financial assistance, and managing databases for tracking patient assistance throughout their treatment. The specialist plays a critical role in ensuring patients receive the necessary financial support and resources during their care.
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Responsibilities
Identifies coverage issues affecting the oncology patient and possible alternate sources of coverage through healthcare and community agencies and resources
Works with patients who are under-insured and identifies alternate resources
Performs comprehensive benefit analysis for patients with insurance coverage issues
Coordinates financial assistance process, including patient contact, submission of financial assistance application and Medicaid/ Medicare application process
Tracks coverage issues throughout the treatment period and provides clinical team with information on status of coverage issues
Assists with coverage for lodging and transportation needs for patients coming from outside the metro area
Researches assistance options
Follows up with agencies assisting in application and provides weekly and monthly reports to supervisor
Collects, maintains and analyzes detailed and extensive data for oncology financial and foundation assistance, including tumor site, demographics, disparate populations; utilizes data from numerous sources; provides comprehensive reports
Understands applicable compliance requirements and ensures requirements are met
Develops, maintains and manages databases for concurrent tracking of oncology patients referred for financial assistance/foundation assistance throughout the patient’s treatment and follow-up period, including referral source, physician, clinician contact, financial assistance application submission, approval decision and re-application if applicable
Responsible for patient account process used for pharmacy financial/foundation assistance and reconciliation of accounts with outpatient pharmacy
Manages databases for pharmacy replacement program
Responsible for handling check requisition process and timely payment of lodging, COBRA, transportation services and pharmacy co-pays
Performs patient account review and handles direct bill invoicing
Qualification
Required
Associates Degree or at least four (4) years of Healthcare experience, with at least two (2) of those years in healthcare financial services experience
Database knowledge and experience
Strong organizational skills and ability to work independently
Knowledge of and experience in the utilization of word processing, spreadsheet, database, and graphic presentation computer applications
Preferred
Six (6) years of financial related healthcare experience
Demonstrated knowledge of hospital operations
Minimum of two (2) experience in Oncology or BMT
Company
Northside Hospital
State-of-the-art facilities with skilled, caring professionals dedicated to the health and wellness of the communities they serve.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Billy Hayes
CEO
Deidre Dixon
Chief Executive Officer - Atlanta
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