Treatment Analyst
Job Description
The Treatment Analyst representative works with insurance companies to authorize various treatment services including chemotherapy, infusions, and injectables. The Treatment Analyst demonstrates a high level of accountability to ensure accurate selection of insurance, documentation of benefits coverage, and submission of necessary preauthorization to ensure no delay in reimbursement of treatment.
The successful candidate will be flexible and be able to multi-task in a fast-paced, high-volume setting. Our ideal candidate has a fundamental understanding of how insurance verification and precertification impacts the revenue cycle as well as PCI patients. Previous insurance verification and prior authorization experience is crucial for success in this role, experience in oncology preferred.
Qualifications
- High school diploma (or equivalent) is required. Collegiate education preferred.
- Three + years of medical office experience is preferred with demonstrated skills in problem solving, attention to detail, ability to learn and use multiple systems and effective written and verbal communication skills
- Advanced technical skills including PC and MS Outlook
- Advanced knowledge of health insurance benefits including copay, deductible, co-insurance for In-network & out-of-network services
- Advanced Knowledge of Precertification including infusion, injectables and other forms of chemotherapy
- Advanced knowledge of CPT, HCPCs, and ICD-10 codes
- Advanced knowledge of medical terminology and business office processes
- Hematology/Oncology experience strongly preferred, however, not required
- Strong interpersonal skills Customer service experience and the ability to prioritize, work accurately, work well independently and able to maintain focus under pressure
- Must be able to sit 8 hours/day and work through occasional high stress situations. Exposed to general indoor working conditions
Benefits
- 401(k)
- Dental insurance
- Employee assistance program
- Employee discount
- Health insurance
- Life insurance
- Paid time off
- Referral program
- Vision insurance