logo

JobNob

Your Career. Our Passion.

Cancer Services Specialist (Carle Cancer Institute)


Carle


Location

Urbana, IL | United States


Job description

Cancer Services Specialist (Carle Cancer Institute)

Email a Friend Save Save Apply Now

Position Summary:

The Cancer Services Specialists is responsible for all the pre-authorizations and insurance inquiries within the cancer center. Understands payment denials and how to prevent denials to reduce losses; works and appropriately appeals the denials from insurance companies. The Cancer Services Specialist coordinates all cancer conferences/tumor boards at CCI-Urbana and CCI-Normal. They are responsible for ensuring all standards for CoC and NAPBC accreditations are met; tracking and entering data into the survey portal, coordinating and maintaining regular meetings of cancer committee and subcommittee and taking minutes. Cancer Services specialist play a key role in accreditation survey prep and reporting.

Qualifications:

EDUCATIONAL REQUIREMENTSAssociates preferred.CERTIFICATION & LICENSURE REQUIREMENTSnoneEXPERIENCE REQUIREMENTSpreferreder 5 years healthcare and/or insurance experience. Knowledge and background of human anatomy, medical terminology and computer skills. Highly organized and ability to function independentlySKILLS AND KNOWLEDGEMedical terminology and/or office skills very important. Communication skills and attention to detail is important. Typing and telephone skills. Proficiency with computers and programs such as PowerPoint, Word, Excel. Demonstrates knowledge of insurance regulations. Displays, reviews, and interprets a broad understanding of third-party payer regulations related to reimbursement issues Works in a timely and accurate manner to ensure appropriate reimbursement and claims appeals Makes appropriate independent decisions that may have a financial impact on the institution and the patient in accordance to policies and resources Understands payment denials and how to prevent denials to reduce losses to the hospital Comfortable with insurance regulations Knowledge in CPT and ICD 9 (10) nomenclature.

Essential Functions:

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: [email protected].

Effective September 20, 2021, the COVID 19 vaccine is required for all new Carle Health team members. Requests for medical or religious exemption will be permitted.


Job tags

Holiday workFull timeLocal areaShift workWeekend workMonday to Friday


Salary

All rights reserved