Support Services| Kettering| Full Time| Days
Primary job functions include verification of insurance benefits and precertification/authorization of injectable and infused medications given at the four infusion centers for Kettering Cancer Care prior to treatment. Communication to clinical team for denied prior authorizations and next steps for appeal or peer to peer options. Responsible for precertification of direct admissions for oncology services. Serves to identify and direct patients/families to Financial Navigators for review of eligibility of PAP/indigent programs. Works in tandem with Oncology Service Line Manager to maintain up to date payor/payment information in the EMR. Interacts with ancillary departments and social services to assist patients with medication assistance and insurance questions; accept other related duties as assigned, as needed.
Job Requirements:
Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. Our mission is to live God’s love by promoting and restoring health. Our commitment to our patients is to help individuals be their best. With that context, safety is our top priority. We provide an integrated system of healthcare experts committed to providing exceptional care.
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