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PAP Program Financial Coordinator, Oncology

Winston Salem, NC, United States
Job ID: 115667
Job Family: Clerical Support
Status: Full Time
Shift: Day
Job Type: Regular
Department Name: 12531085041296-Pre Authorization/Insurance for Treatment

Overview

PAP Program Financial Coordinator, Oncology

Position Highlights: 

  • Shift Schedule: Full Time (40 hours), Monday-Friday
  • Department: Oncology
  • Location:  Atrium Health Wake Forest Baptist in Winston-Salem, NC

What We Offer: 

  • Generous PTO: Accrue up to 25 days/year, to be used for vacations, sickness, holidays, and personal matters.
  • Education Reimbursement: We invest in your professional growth, offering up to $2,500 per year towards a bachelor’s degree and up to $5,000 per year towards a graduate degree.
  • Wellness Incentives: Take advantage of up to $1,350 per year in wellness incentives through our LiveWELL program, prioritizing your well-being.
  • Parental Benefits: We understand the importance of family, providing six weeks of paid birthing-mother maternity leave and four weeks of paid parental leave.
  • Retirement: Secure your financial future with up to 7% employer-paid retirement contributions.

What You'll Do: Performs duties of moderate complexity, judgement, and scope in coordinating and managing all aspects related to insurance benefit information, authorization, billing and collections for all types of services. Will serve as a resource to patients and their families, clinical staff, physicians and insurance companies. Will work daily with drug manufacturers to coordinate shipment of medications for patients as well as processing reimbursement to patient accounts from drug manufacturers.

  1. Coordinates and manages the billing and collection functions for all commercial payor types in regards to reimbursement from drug manufacturers.
  2. Notifies physician offices of approval periods, identifies and monitors accounts, determines correct reimbursement, following up on claim status, performs regular account maintenance, collects and distributes Copayment reimbursements appropriately.
  3. Researches insurance benefits to determine what assistance the patient may qualify for through the drug manufacturers.
  4. Works with patients and develops resolutions to potential patient financial out-of-pocket exposure and helps them plan and overcome these obstacles.
  5. Verifies and monitors coverage and other medical benefits
  6. Ensures that all payor approvals are current at all times.
  7. Performs other duties as assigned.

What You'll Need: 

  • Bachelor’s Degree in Accounting, Finance or related field or 5 years of insurance related experience required.  
  • 1 to 3 years of pharmacy experience required. 
  • 1 to 2 years of reimbursement experience in a hospital setting is preferred. 
  • Must obtain national Pharmacy Technician Certification within 1 year of hire date. 
  • Must register yearly with the North Carolina Board of Pharmacy

 

Additional Skills Needed:

  • Ability to work independently and possess strong organizational, time management and interpersonal skills and be able to prepare and analyze financial reports.
  • Must be proficient with medical terminology and be familiar with clinical considerations.
  • Extensive analytical skills and focus on details.
  • Excellent written and oral communication skills required.
  • Microsoft Excel, Word, and EPIC experience required.
  • Databases, hospital registration, billing and clinical systems preferred.

Work Environment:

  • Clean, well-lit, comfortable office environment
  • Contact may involve dealing with angry or upset people
  • Subject to many interruptions
  • Frequent pressure due to multiple calls and inquiries