Eligibility & Benefits Specialist

Description:
Nebraska Cancer Specialists (NCS) is committed to providing state of the art care to our patients with oncologic and hematologic disorders in a compassionate and caring manner, and to advance cancer treatment through research and education. We continuously strive to be the most knowledgeable, progressive, trusted and compassionate cancer practice in the region.

The Eligibility and Benefits Specialist in our Patient Financial Services department is responsible for conducting insurance verifications, benefit determinations, and authorization submissions on scheduled patients to ensure eligibility and that benefits are in order for accurate claim submission and payment.

* Takes care of any patient needs promptly and willingly.
* Obtains insurance authorization and pre-certification as needed.
* Investigates insurance benefits.
* Obtains and manages government payor referrals.
* Works eligibility queues and tasks.
* Works with payors or other providers to obtain out-of-network referrals for patients when necessary.
* Contacts other providers and/or patients to gather information when needed.
* Stays up to date on insurance company requirements for authorizations and referrals.
* Demonstrates NCS Mission and Core Values through actions and words.
* Ability to work in a fast-paced environment and demonstrates flexibility and adaptability.
. Requirements:
* High School diploma or GED required
* At least 2 years’ experience in a medical billing office is required; oncology is preferred
* Must have working knowledge of third party billing requirements to ensure appropriate authorizations are completed.
* Must have general working knowledge of insurance plans, CPT, HCPCS, ICD-10, medical terminology, and HIPAA
* Proficient with Microsoft office

Excellent benefit package includes AFFORDABLE health, life, vision, dental, and long-term disability insurance, PTO, holiday pay, birthday pay, 401(k) plan and more!

NCS is an equal opportunity employer and participates in e-verify. All offers are contingent upon successful completion of references, criminal background checks, abuse registry checks, and a post-offer drug and alcohol screen.

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