60 Unavailable Networking Jobs Hiring Near You

Overview

The US Oncology Network is looking for an Eligibility Specialist to join our team at Texas Oncology.  This full-time position will support the Surgery Department at our 3001 E. President George Bush Highway Suite 100 in Richardson, Texas.  Typical work week is Monday through Friday, 8:00a - 5:00p. 

Note from Hiring Manager:  We have hired entry level employees in the past and set them up for success with our approach to training.  We provide continuous feedback and educational opportunities.

This position can be either a level 1, 2 or Sr based on relevant work experience.

 

As a part of The US Oncology Network, Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today-at Texas Oncology, we use leading-edge technology and research to deliver high-quality, evidence-based cancer care to help our patients achieve "More breakthroughs. More victories." in their fight against cancer. Today, Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis.

The US Oncology Network is one of the nation's largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care.

What does the Elgibility Specialist do? (including but not limited to):

Under direct supervision, responsible for the successful resubmission of invoices to the responsible party. Analyzes and resolves eligibility variances via web research and/or direct contact with patients. Coordinates activities for the acquisition of referrals and retro-authorizations, where applicable. Follows standard procedures and pre-established guidelines to complete tasks. Supports and adheres to the Compliance Program, including the Code of Ethics and Business Standards, and Shared Values.

Qualifications

The ideal candidate for the Patient Services Coordinator will have the following background and experience:

Level 1

• High school diploma or equivalent required.
• Position is entry-level and requires zero (0) to two (2) years of experience in front desk, registration, healthcare benefits, or equivalent experience.
• Proficiency with computer systems and Microsoft Office (Word and Excel) required.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and use hands to finger, handle, or feel. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 30 pounds. Requires vision and hearing corrected to normal ranges. Requires vision and hearing corrected to normal ranges.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work requires frequent interaction with patients and staff.

Responsibilities

The essential duties and responsibilities (including but not limited to):

• Researches and obtains accurate and current insurance coverage information; makes corresponding corrections in the practice management system (PMS).
• May evaluate benefits and eligibility to assess patient financial responsibility.
• May coordinate referrals from primary care providers to ensure appropriate authorizations are secured and entered into the PMS.
• Identifies uninsured patients and refers to patient benefit representative for coordination of payment.
• Communicates system issues and/or payor trends to lead or supervisor.
• May answer questions and resolve complaints.
• Documents conversations with payors in the PMS.
• Contacts and follows up with clinic staff regarding missing or incomplete documentation.
• Works TES edits.
• Researches and responds to routine account inquiries and takes appropriate action; escalates non-routine issues.
• Adheres to confidentiality, state, federal, and HIPAA laws and guidelines regarding patient records and collections.
• Other duties as requested or assigned.

Employment Type: FULL_TIME