The Oncology Care specialists coordinate with regional call center specialists, nurse navigators, physicians, and other health care professionals to provide critical support functions to assure a remarkable and efficient experience in the Care Coordinating Center (CCC) which serves as the single point of entry for all new patients of the cancer programs (including high risk breast, lung nodule, lung cancer screening, Genetic Counselor programs and other support services).
Care Specialists, provide non-licensed support to Nurse Navigators and act as a team to triage patient-specific information to coordinating care and accurately determine the nature of appointments necessary. Will independently schedule, obtain necessary insurance verification and authorizations and confirm patient appointments, including clear instructions to patients for a wide variety of services including, but not limited to Radiology, IHA specialists, Radiation Oncology, Cancer Care Specialty Center, Gynecologic Oncology. Serves as lead to triage all phone calls coming into the Care Coordinating Center. Also acts as a resource to any patient/family/physician calling for assistance.
REQUIRED EDUCATION, EXPERIENCE AND CERTIFICATION/LICENSURE
Education: High school diploma or equivalent required. Associates degree or some college courses preferred.
Experience: 3-5 years of experience in a medical or physician office or comparable healthcare environment required.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
Provide optimal level of customer services and maintain professionalism to resolve all customer issues and provide all information on patient services available in the cancer program.
Always provide exceptional customer services and maintain courtesy and professional at all times and assisting with a wide variety of situations and special request of patients and referring physicians.
Serving as a direct contact and resource to the patients/family’s providing emotional support and education.
Prepare patients for appointments, providing information in a clear understandable manner and providing written follow-up in the manner patient prefers (texting, email, mail)
Manages flow of patient new patient materials
Demonstrate excellent critical thinking skills as they interview patients and gathers information to assure accurate and timely assessment and intake into program, entering information into all computer systems necessary.
Collects complete and accurate financial and insurance information to performs accurate registration and insurance verification, obtaining required authorizations as indicated.
Provides information to patients concerning hospital and IHA policies and regulatory requirements utilizing effective interpersonal and guest-relations skills.
Reviews, analyzes, and corrects report entries to ensure accurate scheduling and registration, and makes assures financial clearance is obtained prior to services being rendered.
Verifies insurance coverage using Real Time Eligibility system tool for all scheduled services to facilitate accurate assignment of financial responsibility and claims submission.
Responds to problems and questions from Clinical Departments or PFS Teams.
Demonstrates understanding of prevailing regulatory and 3rd party requirements (MSP, authorization requirements, medical necessity screening, etc.). Determines need for authorization for treatment/procedures and coordination of benefits as required.
Identifies opportunities to improve the quality of coordination of care, scheduling, registration and/or verification processes.
Demonstrates accountability to follow-up with patients concerning requests for information of action regarding their appointment and/or care coordination.
Colleagues benefit from TRINITY HEALTH TOTAL REWARDS
Immediate access to Medical, Dental, Vision, and Prescription Coverage
Flexible Spending Accounts, Life Insurance, and Adoption Assistance
Competitive Salary and Retirement Savings with employer matching
Option for DailyPay™ for earned wage access.
Tuition Reimbursement
Flexible Paid Time Off, Paid Holidays, and Disability Coverage
Voluntary benefits (pet, auto/homeowner's, legal insurance)
Exclusive discounts at merchants
Opportunities for growth within Trinity Health
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.