Patient Services Specialist

About the Role

The Cancer Center of Kansas (CCK), part of The US Oncology Network, is seeking a full-time, on-site Patient Services Specialist for its Wichita, KS offices.

Key Responsibilities

• Identify uninsured patients scheduled for services.
• Develop and deliver Good Faith Estimates to patients in accordance with current guidelines.
• Confirm eligibility and verify insurance benefits.
• Counsel patients regarding financial obligations, billing practices, and payment arrangements.
• Refer patients to the Patient Assistance Team as necessary.
• Assist with assistance applications and billing inquiries.
• Collaborate with outside providers and companies to obtain assistance for patients.
• Maintain an up-to-date database for services provided, including fee schedules.
• Stay informed of newly released regulations and requirements from HHS, CMS, and commercial payers.
• Propose implementation ideas for new regulations and requirements.
• Coordinate with the Business Office Director on solutions, including workflow or software changes.
• Communicate effectively with insurance companies, patients, and team members.
• Demonstrate an understanding of patient confidentiality and protect patient and clinic/corporation information.
• Comply with all policies and procedures, including HIPAA privacy rules.
• Attend required meetings.
• Remain current on all compliance requirements.
• Ensure adherence to all applicable policies and procedures of the company and Network.
• Perform other duties or responsibilities as assigned.

Requirements & Tech Stack

• Ability to read, understand, and follow oral and written instructions.
• Ability to create spreadsheets in Excel.
• Ability to deal courteously with patients, co-workers, and insurance personnel.
• Ability to operate a telephone system and utilize appropriate telephone etiquette.
• General knowledge of standard office equipment (computers, fax machines, scanners).
• General knowledge of medical terminology.
• Ability to speak clearly and concisely.
• Ability to hear sounds concisely.

Qualifications

• High school diploma or equivalent required.
• Medical business office experience with insurance procedures and patient interaction preferred.
• Knowledge of medical billing and collection practices.
• Knowledge of insurance agency operation procedures and policies.
• Knowledge of governmental, legal, and regulatory provisions related to collection activities.
• Knowledge of drugs and supplies utilized.
• Knowledge of ICD-10 coding.
• No specific certifications, licenses, or registrations are required.

Work Environment & Physical Demands

• Work is performed in a medical office environment.
• Involves frequent interaction with staff, patients, and physicians.
• May involve exposure to communicable diseases, toxic substances, medical preparations, and other conditions common to an oncology/hematology clinic environment.
• Employee is required to be present at the employee site during regularly scheduled business hours.
• Regularly required to sit or stand and talk or hear.
• Requires full range of body motion, manual and finger dexterity, and eye-hand coordination.
• Requires standing and walking for extensive periods of time.
• Occasionally lifts and carries items weighing up to 30 lbs.
• Requires corrected vision and hearing to normal range.
• Necessary to view and type on computer screens for prolonged periods of time.