About this role
Hematology Oncology Associates was established in Palm Beach County over 35 years ago, and has grown to include 10 Board Certified Hematologist and Oncologists and 6 Nurse Practitioners in 3 convenient locations within our community. Our goals are to provide state of the art cancer treatments with a high level of compassionate care in a warm inviting environment. We also specialize in treatment of coagulation blood disorders, leukemias and other hematologic benign conditions. At Hematology Oncology Associates of the Palm Beaches, we believe that together, we will work to drive a better life outcome for our community.
Why Join Us? Our team values the work components of every member to create a culture of people helping people and making a difference in our lives and those we serve.
Job Description:
- Serve as a senior patient advocate and escalation point for complex patient cases.
- Ensure patients understand insurance benefits, coverage limitations, co-pays, deductibles, and out-of-pocket responsibilities.
- Assist patients with enrollment in financial assistance programs, manufacturer copay programs, foundation grants, and charity care.
- Advocate for timely access to treatment by resolving authorization, coverage, or financial barriers.
- Supervise, train, and support Patient Advocates and related staff.
- Assign workloads, monitor productivity, and ensure timely case resolution.
- Foster collaboration between patient advocacy, clinical teams, billing, and scheduling.
- Oversee insurance verification, benefits investigations, and prior authorization processes.
- Ensure compliance with payer requirements and timely submission of documentation.
- Escalate payer issues and coordinate peer-to-peer reviews when necessary.
- Ensure adherence to HIPAA, payer regulations, and organizational policies.
- Maintain accurate and timely documentation in the EHR and related systems.
- Participate in audits and quality assurance reviews related to patient advocacy and access to care.
- Track and report key performance indicators, such as authorization turnaround time, financial assistance approvals, and patient access delays.
Other facts
About OneOncology
Tennessee Oncology is one of the nation’s largest community-based cancer care specialists and home to one of the leading clinical trial networks in the country.
Established 1976 in Nashville, Tennessee Oncology’s mission remains unchanged: To provide access to high quality cancer care and the expertise of clinical research for all patients at convenient locations within their community and close to their home. To this day, our growing network of physicians and number of locations is based on this mission. In 2018, Tennessee Oncology joined OneOncology, a partnership of oncologists and industry leading experts driving the future of community-based cancer care in the United States, as a founding practice partner.
Physicians specializing in gynecologic oncology, palliative care, radiation oncology, and health psychology comprise our group.
Tennessee Oncology provides a full range of diagnostic services, including oncology specific expertise in PET/CT and laboratory services. Clinic locations provide on-site chemotherapy treatments so that patients receive care in their community and close to their home.
Our physicians utilize the latest in molecular diagnostics and profiling to choose treatments specific to the genetics of your cancer.
Oncology research is the largest area of new drug development. Self -administered medications, those taken by mouth or injected by the patient, comprise approximately 40% of these investigative medications. Tennessee Oncology’s in house pharmacy, Park Pharmacy, stocks oncology and hematology medications not readily available at community retail pharmacies. A URAC accredited Specialty Pharmacy, Park provides insurance and benefits investigation, prior authorization services for insurance coverage, co-pay assistance through manufacturer or foundation programs, extensive medication education, and access to a pharmacist 24 hours a day, 7 days a week.
What you'll do
- Serve as a senior patient advocate and escalation point for complex patient cases while supervising and supporting Patient Advocates. Ensure timely access to treatment by resolving authorization and financial barriers.
Ready to join OneOncology?
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