Patient Account Navigator – Chemotherapy & Infusion

Job not on LinkedIn

November 9

🌪️ Oklahoma – Remote

Although this job is listed in Oklahoma, this company may be open to hiring remote in other states.

⏰ Full Time

🟢 Junior

😶‍🌫️ Therapist

🚫👨‍🎓 No degree required

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OU Health

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Healthcare Insurance

OU Health is a comprehensive healthcare provider offering a wide range of medical services including pediatric care, cancer care, diabetes care, emergency care, and specialized services for adults and children. Located in Oklahoma, OU Health operates multiple facilities such as the Oklahoma Children's Hospital and the Stephenson Cancer Center. Known for its advanced scientific research and quality care, the organization prides itself on being recognized for excellence in areas like pediatric cardiology and heart surgery. As part of its commitment to medical excellence, OU Health also focuses on medical education and research, helping to train the next generation of healthcare professionals.

10,000+ employees

⚕️ Healthcare Insurance

📋 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. • Completes the pre-certification process communicating with the patient, physician, insurance company, other financial institutions and the hospital. • Interviews patient by telephone or in person to gather financial information in order to determine discounts that may be applicable. • Explains financial responsibilities for services received and payment options to patients and/or insurance or other financial institutes responsible for payment. • 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, establishes payment arrangements with the patient, and documents appropriate practice management system. • Acts as an advocate for the patient when discussing medical care with the insurance carrier or other financial institute. • Prepares medical necessity letters for the insurance companies and other financial institutes. • Receives and processes information and forms from the patient and insurance company. • 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. • Obtains prior authorizations from insurance to schedule patient scans and specialty clinic referrals. • Performs other duties as assigned.

🎯 Requirements

• High school diploma or GED required • 12 months experience in pre-certifications, customer service, medical billing, accounts receivable or related experience required • Medical terminology or medical insurance experience preferred • Equivalent combination of education and experience

🏖️ Benefits

• PTO • 401(k) • medical and dental plans • comprehensive benefits package