PRN Patient Service Representative

Patient Services Representative - Part-Time PRN, Remote

Hourly Pay Range: $22-$25

SCOPE: Under direct supervision, prior auth submissions for chemotherapy, oncology and hematology medications, insurance eligibility, obtain chemotherapy/infusion/injection benefits, utilize insurance policies, drug indications for approvals, document final approvals into medical records, scan approval letters, provide coverage for team when out of office.

ESSENTIAL DUTIES AND RESPONSIBILITIES :

- Ensures all regimens are approved using an NCCN, Authorization obtained, or FDA medically necessary indication

-Verifies patient insurance- obtaining in network status, benefits-copay, deductibles, out of pocket, buy and bill allowed, prior auth check, reference number and documentation in EMR

- Looks up cpt codes using online insurance sources available for specific insurance plans

- Submits prior authorizations on available online portals

- Utilizes appropriate forms, fills out all appropriate information, cpt codes, diagnosis codes and medical records to submit requests

-Covers other team members for time off

MINIMUM QUALIFICATIONS:
* High School Diploma or equivalent required. Minimum 1year medical office experience highly desired.
* Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
* Must successfully complete required e-learning courses within 90 days of occupying position.
* Ability to handle and prioritize work in a fast-paced environment and be able to multitask.

COMPETENCIES NEEDED:
* Knowledge of medical terminology.
* Previous knowledge of Electronic Medical Records highly desired.
* Previous Oncology experience highly desired.
* Proficiency with computer systems and Microsoft (Outlook, Office Word, and Excel) highly desired.
* Adaptability: Handles day to day work challenges confidently; is willing and able to adjust to multiple demands, shifting priorities; demonstrates flexibility.
* Commits to Quality: Emphasizes the need to deliver quality products and/or services to patients, families as well as physicians and other staff members.

About Illinois Cancer Specialists

Illinois Cancer Specialists (ICS) is dedicated to providing convenient, compassionate leading-edge cancer
care to patients in Chicago and the surrounding areas. With more than 30 years in practice and over 400
years of combined physician experience, ICS is changing the forefront of patient care. Our dedicated and
highly-skilled physicians and staff, who specialize in caring for patients with cancer and blood disorders,
provide unparalleled access to the most innovative, advanced therapies and latest technologies
throughout Chicago and the surrounding areas. With more than 20 board certified physicians, ICS offers
convenient, compassionate care in ten locations. For more information about Illinois Cancer Specialists
visit www.illinoiscancerspecialists.com.

Illinois Cancer Specialists is united in healing with The US Oncology Network, one of the nation's largest
networks of integrated, community-based oncology practices dedicated to advancing high-quality,
evidence-based cancer care. As an affiliate of The US Oncology Network, ICS is united with more than
1,000 physicians nationwide. Illinois Cancer Specialists participates in clinical trials through US Oncology
Research, which has played a role in approximately 60 FDA-approved cancer therapies, nearly one-third
of all cancer therapies approved by the FDA to date. For more information, visit www.usoncology.com.