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Rochester, New York, United States • On-site
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The specialist manages the intake and referral process for oncology patients, including screening and coordinating testing with physicians and payers. They are responsible for obtaining insurance authorizations and notifying patients of their scheduled procedures.
Candidates must have at least 3 years of experience in a healthcare setting. An associate's degree or high school diploma is desired, along with strong communication skills and the ability to work in a fast-paced environment.
Job Title: Oncology Referral Specialist
Department: Oncology
Location: Lipson Cancer Institute - St Mary's
Address: 55 Genesee Street, Rochester
Hours Per Week: 40
Schedule: Monday to Friday, 8am to 4:30pm
Key Responsibilities:
• Provide telephone and in person screening and initial contact with referral sources and potential patients.
• Coordinates the intake and referral process, determines priority needs for assessment
• Provides coordination of testing to be performed with physician, patient, facility and payer. This includes reviewing medical documents for clarity, ensuring all necessary clinical steps have been taken; works with necessary parties to obtain third-party approval
• Obtains all procedure and diagnosis codes to properly authorize/pre-certify ordered testing.
• Refers self-pay and out-of-network patients to the appropriate resource to help with payment.
• Complete pre-certification/authorization with the patient’s insurance company providing any necessary documentation.
• Document authorization/pre-certification once received along with contact information of the person spoken with.
• Contacts the patients and notifies them of the scheduled procedure and all necessary instructions.
• Actively monitor the attendance of and follow-up of referred appointments
• Monitor statistics and volume of patients testing and physician appointments
• Other duties as assigned
Minimum Qualifications:
Required - 3 years of experience in a health care setting.
Desired Attributes:
Associate's Degree in a related field
HS diploma or equivalent
Excellent communication and interpersonal skills
Ability to Undertake a variety of diverse tasks and work in a multidisciplinary team.
Ability to think and work independently and with direction, and communicate with staff members in a fast- paced environment.
Top candidate will have previous Medical Office experience
Required Licensure/Certification:
NA
LICENSES / CERTIFICATIONS:
For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.
Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.
The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.
Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.
Rochester Regional Health, headquartered in Rochester, NY, is an integrated health services organization serving the people of Western New York, the Finger Lakes, St. Lawrence County, and beyond. We are dedicated to helping our community stay healthy and live fulfilling lives. Together, we find the best way forward to where you want to be. From western to northern New York, rest assured; we’ve got you covered. We see you. We’re with you. We’re here to uplift you—to treat people, not symptoms. To treat you well. Our experience is nation-leading, neighbor-driven, and rooted in generations of real-life care. Today, we offer comprehensive care from 500+ locations, including 8 hospitals; more than 300 primary and specialty practices, rehabilitation centers and ambulatory campuses; innovative senior services, facilities and independent housing; a wide range of behavioral health services; and ACM Global Laboratories, a global leader in patient and clinical trials. Whatever you need, from every age, to every stage, across every service line, and every symptom... Whatever it is, we’re here for it. Learn more about Rochester Regional Health at careers.rochesterregional.org. Rochester Regional Health is an Equal Opportunity/Affirmative Action Employer. Minority/Female/Disability/Veteran
Offices: 100 S Kings Hwy, Rochester, New York 14617, US
