General Summary of Position
Under the general supervision of the Director of Revenue Cycle Improvement and in close coordination with Clinical Nurse Coordinators and financial staff, coordinates the financial aspects of patients' cars. Identifies and obtains information to ensure that the financial needs of the department and affiliated clinic patients are properly met and that information is properly captured and shared in order to maximize reimbursement to GUH in support of care for the patients. Serves as a departmental expert in reimbursement rules and acts as an advocate for the patient on financial issues, while maintaining excellent customer service levels. These functions are performed in accordance with all applicable laws and regulations and Georgetown University Hospital's philosophy, policies, procedures, and standards.

Primary Duties and Responsibilities

• Obtains preauthorization, insurance verification, eligibility, basic benefits information, and approved length of chemotherapy and/or other infusion therapies treatments on all patients receiving services including diagnostic procedures associated with cancer treatment.
• Facilitates and/or obtains continued authorizations to patients receiving chemotherapy and other infusion therapies on the infusion unit.
• Tracks and maintains referral and preauthorization records for all patients and ensures that authorizations are obtained, updated, and recorded in a timely manner, such that patient care is not inappropriately delayed and that denials are minimized.
• Assists with facility charge entry for patients seen in the clinic in accordance with agreed-upon procedures.
• Reviews daily unit schedules to identify and resolve any necessary documentation needs prior to rendering care (authorizations and other financial information)
• Collaborates with outside referring departments for patients receiving treatments in the Infusion unit. Ensures that all necessary authorizations are performed and are in place prior to the patient's receiving treatments.
• Communicates with appropriate health care team members, Interacts with the Clinical nurse coordinator and other staff for a timely flow of information.
• Communicates effectively and maintains positive relationships with external audiences, this includes but is not limited to communicating directly with patients for clarification and follow-up purposes.
• Maintains records and files. Tracks all data for preauthorization.
• Identifies issues requiring resolution by other GUH/departmental Leadership and brings them to the administration's attention in a timely manner.
• Meets regularly or as needed with the clinical nurse coordinator to review clinical data required for preauthorization treatment.
• Acts as a resource for a financial administrator for documentation of authorization to reconcile denials.
• Performs other duties and responsibilities that are appropriate to the position and area. The above responsibilities are a general description of the level and nature of the work assigned to this classification and is not to be considered all-inclusive.

Minimum Qualifications
Education

• Associate's degree required
• Bachelor's degree preferred

Experience

• Experience in customer service oriented environment required and
• Experience in hospital or physician registration, insurance verification and/or medical billing required

Licenses and Certifications

• N/A

Knowledge, Skills, and Abilities

• Excellent oral and written communication skills, excellent customer service skills, Detail oriented. Excellent organizational skills.
• Proficiency with medical terminology, experience with basic anatomy/physiology.
• Understanding of medical terminology, ICD-9 codes, and third-party payer procedures.
• Knowledge of computerized registration, scheduling, and billing systems is a plus.
• Good interpersonal and communication skills.

Why MedStar Health?
At MedStar Health, we understand that our ability to treat others well begins with how we treat each other. We work hard to foster an inclusive and positive environment where our associates feel valued, connected, and empowered. We live up to this promise through:

• Strong emphasis on teamwork—our associates feel connected to each other and our mission as an organization. In return, our effective team environment generates positive patient outcomes and high associate satisfaction ratings that exceed the national benchmark.
• Strategic focus on equity, inclusion, & diversity—we are committed to equity for all people and communities. We continue to build a diverse and inclusive workplace where people feel a sense of belonging and the ability to contribute to equitable care delivery and improved community health outcomes at all levels of the organization.
• Comprehensive total rewards package—including competitive pay, generous paid time off, great health and wellness benefits, retirement savings, education assistance, and so much more.
• More career opportunities closer to home—as the largest healthcare provider in the Baltimore-Washington, D.C. region, there are countless opportunities to grow your career and fulfill your aspirations.

About MedStar Health
MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation, and research. Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team. Together, we use the best of our minds and the best of our hearts to serve our patients, those who care for them, and our communities. It’s how we treat people.

MedStar Health is an Equal Opportunity (EO) Employer and assures equal opportunity for all applicants and employees. We hire people to work in different locations, and we comply with the federal, state and local laws governing each of those locations. MedStar Health makes all decisions regarding employment, including for example, hiring, transfer, promotion, compensation, benefit eligibility, discipline, and discharge without regard to any protected status, including race, color, creed, religion, national origin, citizenship status, sex, age, disability, veteran status, marital status, sexual orientation, gender identity or expression, political affiliations, or any other characteristic protected by federal, state or local EO laws. If you receive an offer of employment, it is MedStar Health's policy to hire its employees on an at-will basis, which means you or MedStar Health may terminate this relationship at any time, for any reason.