Chemotherapy Insurance Authorization Specialist

Job description

Description Position Summary: This position is responsible for obtaining benefits and prior authorizations for scheduled treatments/procedures. Responsible for educating patient on insurance coverage and benefits. Assess patients’ financial ability; may educate patient on assistance programs. Essential Duties and Responsibilities: The essential functions include, but are not limited to the following: - Prior to a patient receiving treatment; obtains insurance coverage information and demographics; educates patient on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses. - Responsible for acquiring and documenting all Prior Authorizations need for patients before first visit. - Assess patients’ ability to meet expenses and discusses payment arrangements. - May educate patients on financial assistance programs as well as identify sources and provide assistance with completing forms. - Based upon diagnosis, estimated insurance coverage, and financial assistance, completes Patient Cost Estimate form. - Completes appropriate reimbursement and liability forms for patient’s review and signature. Forwards appropriate information and forms to billing office. - Resp...