ChristianaCare is currently recruiting for a full-time Access Coordinator for our Oncology and Hematology office located at Helen F. Graham, Suite 2300 in Newark, DE.
Duties and Responsibilities
Obtains, verifies authorizations and tracks required pre-authorizations for oncology office visits and treatment services including high cost complexity medications prior to the patient appointment.
Verifies and documents patient insurance coverage and coordinates financial support with the practice director and the cancer center social worker team if required.
Communicates status of prior authorizations to providers and patients and reschedules as necessary.
Reports to providers and billing manager denied requests and follow up with the provider regarding the need for further intervention.
Arranges peer to peer discussions with the 3rd party providers to facilitate a review of the denied request.
Investigates patient out of pocket costs and available support programs, referring patient account to the Cancer Center Social Worker and/or the CCOH Billing Manager.
Coordinates with patient financial services to investigate and resolve billing discrepancies/denials.
Performs daily operational duties such as scheduling, registration, pre-registration, verification, and authorization for treatments utilizing the Varian (EMR) and Soarian systems.
Documents all case information in the EMR and Soarian.
Participates in quality assurance as directed to assure ongoing improvement in departmental and individual performance.
Attends department in-service and staff meetings as required.
Assists in training of new employees.
Performs assigned work safely, adhering to established departmental safety rules and practices; reports to supervisor in a timely manner any unsafe activities, conditions, hazards, or safety violations that may cause injury to oneself, other employees, patients and visitors.
Performs other related duties as required.
Monday - Friday, day shift
Education and Experience Requirements
Associates degree in Business/Medical related field
Two years experience in a medical, financial, or marketing field required
Direct related work experience may be substituted for educational requirements as determined by Practice Director and Cancer Center Management.
ChristianaCare Health System is headquartered in Wilmington, Delaware and is one of the country's largest health care providers, ranking 21st in the nation for hospital admissions. Christiana Care is proudly a Nurse Magnet recognized institution. Christiana Care Health System is also one of the largest health care providers in the mid-Atlantic region, serving all of Delaware and portions of seven counties bordering the state in Pennsylvania, Maryland and New Jersey. A not-for-profit, non-sectarian health system, Christiana Care includes two hospitals with more than 1,100 patient beds, and is a major teaching hospital with two campuses. Christiana Care is continually recognized for excellence on a regional and national level. Our role in the community is expressed in the Christiana Care Way: "We serve our neighbors as respectful, expert, caring partners in their health. We do this by creating innovative, effective, affordable systems of care that our neighbors value."Christiana Care is a great place to work because we value diversity and recognize it to be a core part of our success. Because of the diversity of our employees, affiliated health professionals and volunteers, we are ...positioned to meet the unique needs of our patients and community. We acknowledge and celebrate the uniqueness and talent of each employee. Because of our talented workforce we are able to provide a quality healthcare experience to our patients and community. We strive to create an inclusive environment in which individual diversity can be leveraged and thrive. Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.