Full employer posting
Day Shift Description: Functional Role Provides patient counseling regarding treatment costs, insurance coverage, available payment resources, and financial assistance options. Secures and documents payment arrangements. Submits authorization for initial and subsequent high-cost infusion and oncology services based on complex treatment plans.
Coordinates with the patient, physician, insurance company, and pharmaceutical company to complete the required pre-authorization process. Validates payable diagnosis codes/medical necessity and prior therapy requirements according to FDA and NCCN guidelines. Assists patients in financing, payment plans, financial assistance and all financial options through the organization.
This includes grants, co-pay assistance for high-cost pharmacy/drugs and free-drugs for infusion and specialty care patients.
High school diploma or GED. Minimum two (2) to three (3) years experience working in Patient Access or Patient Accounting for hospital registration and / or hospital reimbursement services Obtain National certification in HFMA CRCR and/or NAHAM CHAA required within one (1) year of hire. Understanding of basic billing and coding.
Additional Qualifications (nice to have) Bachelor’s degree or advanced certification or a combination of advanced training and/or certification (e.g., Registered Nurse, Licensed Practical Nurse, Certified Pharmacy Technician, Registered Health Information Technician, or medical coding certification through AHIMA or AAPC Epic experience preferred. Knowledge of federal or state government agencies including but not limited to Medicare, Medicaid, VA or Charity Care programs, or patient management and healthcare accounts receivable within the healthcare revenue cycle.
Holy Cross Health Florida in Fort Lauderdale has been named one of America’s Best Employers for Healthcare Professionals by Forbes! Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care.
We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.