Description We are dedicated to providing convenient, compassionate leading-edge cancer care to patients in Chicago and the surrounding areas. With more than 30 years in practice and over 400 years of combined physician experience, we are changing the forefront of patient care. Our dedicated and highly-skilled physicians and staff, who specialize in caring for patients with cancer and blood disorders, provide unparalleled access to the most innovative, advanced therapies and latest technologies throughout Chicago and the surrounding areas. We are united in healing with one of the nation’s largest networks of integrated, community-based oncology practices dedicated to advancing high-quality, evidence-based cancer care. Job Description: + Will be doing prior authorization for treatment, scans, procedures for cancer treatment for mostly Medicaid and HMO insurance. They do have commercial insurance too, but not as often. + They will use their EHR system called IKnowMed but authorizations are mostly going through the insurance portals. + They see up to 120 patients in office a day. But some patients are coming for follow up and don’t need authorizations. Can expect to do around 20-50 authorizations daily. + Will train them to talk with patients about benefits, deductibles, copays, payments, etc. for the treatment. + Will be collecting all the necessary documentation, contacting the patients for additional information and completion of the required prior authorization in order to proceed with testing. Additional Responsibilities: + Prior to a patient receiving treatment; obtains insurance coverage information and demographics; educates patient on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses. + If they have any experience in Oncology that is a plus, but not required. + Assess patients ability to meet expenses and discusses payment arrangements. May educate patients on financial assistance programs as well as identify sources and provide assistance with completing forms. Based upon diagnosis, estimated insurance coverage, and financial assistance, completes Patient Cost Estimate form. + Completes appropriate reimbursement and liability forms for patient*s review and signature. + Forwards appropriate information and forms to billing office. + Responsible for obtaining, from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment. + Review patient account balance and notify front desk of patients to meet with + Ensure that patient co-pay amount is correctly entered into system (or conveyed), allowing front desk to collect appropriately + At each patient visit, verifies and updates demographics and insurance coverage in computer system according to Standard Operating Procedures (SOPs). + Stays current on available financial aide. Develops professional relationships with financial aide providers. Networks with financial aide providers to obtain leads to other aide programs. + Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patients' records. + Maintains updated manuals, logs, forms, and documentation. Qualifications + High school diploma or equivalent required. + Minimum three (3) years experience in prior authorizations and insurance verification + Proficiency with computer systems and Microsoft Office (Word and Excel) required. + Demonstrate knowledge of CPT coding and HCPS coding application. + Must be able to verbally communicate clearly and utilize the appropriate and correct terminology. + Demonstrates Adaptability: Handles day to day work challenges confidently; is willing and able to adjust to multiple demands, shifting priorities, ambiguity and rapid change; shows resilience inn the face of constraints, frustrations, or adversity; demonstrates flexibility. Pay and Benefits The pay range for this position is $23.00 - $23.00 Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Chicago,IL. Application Deadline This position will be accepting applications until Feb 1, 2025. About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.