Radiation/Oncology Verification Specialist Job Details Job Location Central Billing Office - Mesquite, TX Description Responsible for verifying insurance benefits, obtaining precertification or predetermination if required along with making sure a valid referral is on file if needed for both radiation & medical oncology as well as provide financial counseling to patients prior to their scheduled appointments. + Contacts the insurance company for eligibility & benefits, obtaining precertification or predetermination if required along with making sure a valid referral is on file if needed. Answer incoming department calls and assist patients with their benefit inquiries & quotes. + Communicates with Physician’s MA to obtain clinical information as needed for precertification and/or predeterminations. + Documents benefits in insurance maintenance screen of medical billing system. + Contacts Patient to notify them of their portion for upcoming appointment. + Documents any communication made to patient in chart notes of medical billing system. + Documents amount to collect for upcoming visit within the patient’s appointment outside of any copayments. + Reviews the ledger for any outstanding balances and notifies collector via Nextgen PM email. + Maintain department target date of 10 days out. + Assist department with schedules in the event of an absence or staff shortage. + Rotating Kitchen & Fax Duty Qualifications Education and/or Experience: + High school diploma or equivalent. + Effective communication skills, including verbal, written and telephone. + Proficient in mathematical skills + Able to multitask, be motivated and team player with positive attitude + Experience with insurance verification of benefits as well as precertification, predeterminations, and referrals. + Medical and Radiation oncology experience necessary. + Advanced Radiology experience a plus + Urology and medical terminology knowledge