Required:

• Knowledge of oncology CPT and ICD-10 codes and medical office procedures.  General knowledge of oncology procedures and terminology.
• Working knowledge of insurance authorizations and verification process for major medical insurance plans.
• Healthcare research and analysis skills sufficient to support drug coverage and reimbursement.
• Experience with varied computer software and hardware including knowledge of Microsoft Word, Excel and Outlook, CareConnect, billing systems and the internet.
• Possess strong customer service skills to promote pleasant and effective interactions with patients, staff and physicians.
• Skills in analyzing information, problems, situations, practices and procedures to recognize alternatives and provide solutions while maintaining cooperative working relationships with administrators, physicians, peers and the public.
• Ability to work as part of a team, maintaining confidentiality in all assignments and show initiative in identifying and solving problems as they occur.
• Ability to set priorities and complete assignments in a timely manner under minimal supervision.
• Advanced organizational skills to ensure a workable, efficient workspace and accomplish established objectives.
• Skills in adapting to and implementing frequently changing procedures.
• Knowledge of State and Federal programs to ensure reimbursement from Medicare, Medi-Cal, or other sponsoring agencies as well ask knowledge of reimbursement guidelines for commercial and managed care payers.
• Skill in recognizing a high priority situation and taking appropriate and immediate action.
• Ability to maintain composure when confronted with difficult situations and respond professionally.
• Ability to make independent judgements and to evaluate complex, sensitive issues with diplomacy
• Skill in speaking clearly and using appropriate grammar.
• Skill in writing concise, grammatically correct reports/correspondence.
• Ability to perform basic mathematical functions.
• Working knowledge of medical terminology to sufficiently identify various procedures to obtain optimum benefit information and reimbursement.
• Working knowledge of third party payor verification terminology.
• Knowledge in the functional operations of third party payors and utilization review agencies to expeditiously coordinate follow-up.
• Interpersonal skills to interact with all members of the healthcare team to develop and maintain a cooperative working environment.
• Ability to set priorities and complete assignments in a timely manner.
• Ability to evaluate situations and appraise supervisor of all exceptional and non-standard activities upon occurrence.
• Demonstrated ability to be punctual and maintain a satisfactory attendance record.
• Demonstrated ability to adhere to departmental policies and procedures and work rules.
• Ability to perform other tasks and duties as assigned.
• An understanding of the healthcare industry, including both commercial and government payer landscape, utilize critical thinking to problem-solve challenges, including empathetic listening.
• Skills in order to interact effectively with patients and providers.

Preferred:

• Minimum of 2 years authorizations and billing experience
• Minimum of 1 year of experience with copayment assistance programs