ChristianaCare is hiring a full-time Access Coordinator for Radiation Oncology at the Helen F. Graham Center in Newark, DE.

**This position will rotate to support multiple locations including Concord, PA.

As an Access Coordinator you will facilitate the authorization process by obtaining timely authorizations; send Admit Forms to Admitting Department to confirm insurance; schedule patients for imaging procedures including submitting referral information; prepare documents for Multidisciplinary Clinic (MDC) and enters in the EMR.

Schedule:

• Monday-Friday 7am - 3:30pm

• No weekends or Holidays

Principal Duties and Responsibilities:

• Sends Admit Form to Admitting Department for patient registration within Christiana Care Health System (CCHS); reviews authorization requirements from Admitting Department; coordinates with Admitting Department any required letters of non-coverage as required.
• Enters "alert" in EMR for those patients' whose insurance requires an authorization; sends Evicore Healthcare Form (if appropriate) to ordering Radiation Oncologist or his designee on the day of CT; uses information from Evicore form to request authorization; collaborates with Billing Representative for correct CPT codes for all other insurances; responds to Quality Check Lists (QCL) in a timely manner to avoid delays in the start of patient treatments.
• Obtains authorization from insurance companies prior to CT and treatments; once approved, enters approved authorization number, case number, expiration date, and number of approved visits in patient's EMR under Insurance tab; communicates with Radiation Oncologist when insurance denies coverage; schedules Peer to Peer upon request.  Collaborates with Finance if an appeal process is indicated.
• Schedules patients for imaging services documenting scheduled date in patient's EMR; sends referral in advance of patient appointment to avoid delay of services; informs patient of scheduled exam date, time, and location.
• Produces weekly productivity reports for Admin. Director; responds in a timely manner to the Hospital Billing Representative regarding claim denials and status on payment; notifies Manager, Cash & Collection of any patients who are self-pay/no insurance so patients can receive estimates of the charges for radiation oncology technical services; notifies Radiation Oncologists of patients who are self-pay so professional charges can be estimated.
• Participates in the Monday - Friday Dosimetry huddles on a rotating basis; shares information from huddle with other Access Coordinators; works collaboratively with other Access Coordinators regarding assignment of authorizations that are high priorities based on information from Dosimetry huddle; makes workflow adjustments to accommodate patient volume surges.
• Maintains a solid working knowledge base of insurance requirements specific to radiation oncology; creates a collaborative working relationship with insurance representatives.
• Provides front office coverage at all Radiation Oncology locations upon request; retrieves messages from answering service and/or scheduling line when covering at HFGCC front office location; participates in late shift telephone coverage at HFGCC when necessary and upon request.
• Performs assigned work safely, adhering to established departmental safety rules and practices; reports to supervisor, in a timely manner, any unsafe activities, conditions, hazards, or safety violations that may cause injury to oneself, other employees, patients and visitors.
• Performs other related duties as required.

EDUCATION AND EXPERIENCE REQUIREMENTS:

• Associate degree in Business/Medical related field preferred
• 2 years experience in a medical, or financial institution preferred
• An equivalent combination of education and experience may be substituted.

Please include an updated resume with your application!

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EEO Statement: Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.