Patient Access Coordinator - Cancer Center (Full-Time Days) - Jefferson-Einstein

Job Details Job Description Primary responsibility is to obtain prior authorization from insurance companies for patients receiving chemotherapy. This includes electronically access insurance company website portals and/or contact via telephone or fax to request prior authorization. Ensuring appropriate ICD-10 codes are associated with the patients EMR prior to these prior authorization requests. Communicating with treatment team (nurses/doctors/manager) on prior authorization status. Appropriate documentation of denied/approval authorizations. Verifies patient demographic and insurance information in RCX and Cerner billing systems. Batches all IC10 and CPT's for outpatient billing documentation. Enters charge batches into RCX rules and Cerner billing systems in a timely fashion. Reconciles batch totals, logs and files completed batches. Denial management for all authorization rejected claims. High School Diploma required. At least one year billing experience required with knowledge of CPT and ICD-10 coding, patient registration and third party insurances. Experience with RCX rules, Cerner Registration, iPAS, Cerner and RCX charge entry and payment posting functions preferred. Knowledge of Artiva Denial Management preferred. Knowledge of Chemotherapy drugs preferred. High School Diploma required. At least one year billing experience required with knowledge of CPT and ICD-10 coding, patient registration and third party insurances. Experience with RCX rules, Cerner Registration, iPAS, Cerner and RCX charge entry and payment posting functions preferred. Knowledge of Artiva Denial Management preferred. Knowledge of Chemotherapy drugs preferred.

Work Shift Workday Day (United States of America)

Worker Sub Type Regular

Primary Location Address 5501 Old York Road, Philadelphia, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years. Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.