Patient Account Navigator-Chemotherapy & Infusion at OU Health

Choctaw, Oklahoma, United States -

Full Time

Start Date

Immediate

Expiry Date

07 Feb, 26

Salary

0.0

Posted On

09 Nov, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Financial Counseling, Insurance Pre-Certification, Medical Billing, Customer Service, HIPAA Regulations, Communication Skills, Detail Oriented, Multitasking, Patient Advocacy, Payment Options, Medical Necessity Letters, Prior Authorization, Scheduling, Pharmaceutical Assistance, Documentation, Problem Solving

Industry

Hospitals and Health Care

Description

Position Title: Patient Account Navigator-Chemotherapy & Infusion Department: SCC Clinic Patient Services Job Description: General Description: Initiates and coordinates insurance or other carrier pre-certification and prior authorization for patients. Provides financial counseling to patients. Coordinates with the business office to ensure timely claim and account follow-up. Essential Responsibilities: Pre-Certification: Completes the pre-certification process communicating with the patient, physician, insurance company, other financial institutions and the hospital. Information: Interviews patient by telephone or in person to gather financial information in order to determine discounts that may be applicable. Payment Options: Explains financial responsibilities for services received and payment options to patients and/or insurance or other financial institutes responsible for payment. Counseling: Counsels patients regarding insurance benefits and recommends alternative sources of payment and financial assistance when appropriate. Reviews provider and treatment protocols, determines insurance benefits and patient responsibility, establish payment arrangements with the patient, and documents appropriate practice management system. Advocate: Acts as an advocate for the patient when discussing medical care with the insurance carrier or other financial institute. Correspondence: Prepares medical necessity letters for the insurance companies and other financial institutes. Processing: Receives and processes information and forms from the patient and insurance company. Prescriptions: Assists patients with obtaining financial resources for oral medication prescriptions by working with pharmaceutical companies and other resources to obtain grants and financial aid for patients in need. Scheduling: Obtain prior authorizations from insurance to schedule patient scans and specialty clinic referrals. General Responsibilities: Performs other duties as assigned. Minimum Requirements: Education: High school diploma or GED required. Experience: 12 months experience in pre-certifications, customer service, medical billing, accounts receivable or related experience required. Medical terminology or medical insurance experience preferred. OR: Equivalent combination of education and experience. Licensure/Certifications/Registrations Required: None. Knowledge, Skills, & Abilities: Basic knowledge of HIPAA regulations and procedures. Excellent verbal and written communication skills. Must be detail oriented. Ability to multitask and meet deadlines. Ability to read and interpret basic business correspondence, safety manuals and policy manuals. Current OU Health Employees - Please click HERE to login. OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family. OU Health is the state’s only comprehensive academic health system of hospitals, clinics and centers of excellence. With 11,000 employees and more than 1,300 physicians and advanced practice providers, OU Health is home to Oklahoma’s largest doctor network with a complete range of specialty care. OU Health serves Oklahoma and the region with the state’s only freestanding children’s hospital, the only National Cancer Institute-Designated OU Health Stephenson Cancer Center, Oklahoma’s flagship hospital, which serves as the state’s only Level 1 trauma center and Edmond Medical Center in the heart of the Edmond Community. Becker’s Hospital Review named University of Oklahoma Medical Center one of the 100 Great Hospitals in America for 2020. OU Health’s oncology program at OU Health Stephenson Cancer Center was named Oklahoma’s top facility for cancer care by U.S. News & World Report in its 2020-21 rankings. OU Health also was ranked by U.S. News & World Report as high performing in these specialties: Colon Surgery, COPD and Congestive Heart Failure. OU Health’s mission is to lead healthcare in patient care, education and research. Experts in prevention, treatment and cures, our team works to improve lives through innovation in medical care, education and research, while investing in the people, technologies and facilities that will enable us to achieve our goals. We are seeking individuals who have a passion and talent for caring for others. By joining our team, you will provide quality health care to our community through the work you do every day. We provide clinical and non-clinical opportunities to further your career and we invite you to explore our available positions. Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, gender, national origin, age, disability, sexual orientation, gender identity, genetic information or protected veteran status in accordance with applicable federal laws. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, transfer, leaves of absence, compensation, and training. Reasonable accommodations are made to the known physical and mental limitations of qualified individuals with disabilities.

Responsibilities

The Patient Account Navigator initiates and coordinates insurance pre-certification and prior authorization for patients while providing financial counseling. They act as an advocate for patients, ensuring timely claim follow-up and assisting with obtaining financial resources for medications.