Cancer Specialists of North Florida

Insurance

• Reviewing all specifically assigned accounts to resolve unpaid patient accounts
• Assisting patients with inquiries regarding their accounts
• Reviewing EOBs to provide proper claim reimbursement
• Interpreting fee schedules
• Preparing write-off requests for supervisors
• Demonstrating ability to deal with patients and insurance companies professionally
• Receiving and resolving patient billing complaints
• Researching written requests for refunds
• Responding to insurance companies promptly
• Maintaining confidentiality regarding patient account status

Insurance Follow-Up Specialist

Manager

• Coordinate same-day infusion visits for urgent supportive care and provide clear patient instructions/reinforce regarding when to call back or escalate care
• Monitor Canopy Work Queue ticket dashboard
• Prioritize patient needs and determine appropriate level of care, provide real-time clinical advice for symptom management, and escalate urgent or complex cases to providers promptly
• Utilize Canopy symptom algorithms to perform telephone triage of patient-reported symptoms, document symptom related calls, and coordinate care with providers and clinic staff
• Act as liaison between patients/caregivers and multidisciplinary teams when coordinating care
• Complete detailed documentation of all patient interactions and education related to care and communications with patients, staff and providers
• Monitor hospitalization and re-admissions as related to Case Management
• Maintain oncology related competency via required ONS courses and CEU’s
• Demonstrate competency to provide care appropriate to the age group of this patients’ population

Insurance Follow-Up Specialist

Nurse Case Manager