Preaccess Oncology Benefits at AdventHealth Hinsdale

%3Cp class=%22MsoNormal%22 style=%22margin-bottom:12.0pt;vertical-align:baseline;%22%3E%3Cspan style=%22color:#006197;font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3E%3Cstrong%3EAll the benefits and perks you need for you and your family:%3C/strong%3E%3C/span%3E%3C/b%3E%3C/span%3E%3Cspan style=%22color:#222222;font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Ci%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3E%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/i%3E%3C/span%3E%3C/p%3E%3Cul%3E%3Cli%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22color:#222222;font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EBenefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22color:#222222;font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EPaid Time Off from Day One%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22color:#222222;font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3E403-B Retirement Plan%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22color:#222222;font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3E4 Weeks 100% Paid Parental Leave%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22color:#222222;font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3ECareer Development%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22color:#222222;font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EWhole Person Well-being Resources%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22color:#222222;font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EMental Health Resources and Support%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3C/li%3E%3C/ul%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:12.0pt;vertical-align:baseline;%22%3E%3Cspan style=%22color:#006197;font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3E%3Cstrong%3EOur promise to you:%3C/strong%3E%3C/span%3E%3C/b%3E%3C/span%3E%3Cspan style=%22color:#222222;font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Proxima Nova%26quot;;%22%3E%3Cstrong%3E%3Co:p%3E%3C/o:p%3E%3C/strong%3E%3C/span%3E%3C/b%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:12.0pt;text-align:justify;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Proxima Nova%26quot;;%22%3EJoining UChicago Medicine AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. UChicago Medicine AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that %3C/span%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Proxima Nova%26quot;;%22%3E%3Cstrong%3Etogether%3C/strong%3E%3C/span%3E%3C/b%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Proxima Nova%26quot;;%22%3E we are even better.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:12.0pt;vertical-align:baseline;%22%3E%3Cspan style=%22color:#006197;font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3E%3Cstrong%3ESchedule:%3C/strong%3E%3C/span%3E%3C/span%3E%3Cspan style=%22color:#4B4B45;font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan class=%22job-schedule%22%3E%26nbsp;Monday-Friday from 8am to 4:30pm%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:12.0pt;vertical-align:baseline;%22%3E%3Cspan style=%22color:#006197;font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3E%3Cstrong%3EShift:%3C/strong%3E%26nbsp;%3C/span%3E%3C/span%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EDays%3C/span%3E%3C/span%3E%3Cspan style=%22color:#222222;font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3E%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:12.0pt;vertical-align:baseline;%22%3E%3Cspan style=%22color:#006197;font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3E%3Cstrong%3ELocation: %3C/strong%3E%3C/span%3E%3C/span%3E%3Cspan style=%22color:black;font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-bidi-font-style:italic;mso-fareast-font-family:%26quot;Times New Roman%26quot;;mso-themecolor:text1;%22%3E120 North Oak Street, Hinsdale, IL 60521%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:12.0pt;vertical-align:baseline;%22%3E%3Cspan style=%22color:#006197;font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3E%3Cstrong%3EThe community you’ll be caring for: %3C/strong%3E%3C/span%3E%3C/b%3E%3C/span%3E%3Cspan style=%22color:black;font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-bidi-font-style:italic;mso-fareast-font-family:%26quot;Times New Roman%26quot;;mso-themecolor:text1;%22%3EUChicago Medicine AdventHealth Hinsdale%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:12.0pt;vertical-align:baseline;%22%3E%3Cspan style=%22color:#006197;font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3E%3Cstrong%3EThe role you’ll contribute:%3C/strong%3E%3C/span%3E%3C/b%3E%3C/span%3E%3Cspan style=%22color:#222222;font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Ci style=%22mso-bidi-font-style:normal;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3E%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/i%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:12.0pt;text-align:justify;vertical-align:baseline;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Proxima Nova%26quot;;%22%3EThe Pre-Access Infusion Benefits and Authorization Specialist, under general supervision, maintains performance standards appropriate to area by obtaining account benefits and/or verifying authorizations are in place for all chemotherapy regimens and treatments, and meeting standards established by leadership for all patient services. Meets or exceeds department audit accuracy and productivity standard goal. Uses utmost caution that obtained benefits, authorizations, and/or pre-certifications are accurate according to the actual test, and procedure or registration being performed. Adheres to AdventHealth Corporate Compliance Plan and to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22margin-bottom:12.0pt;vertical-align:baseline;%22%3E%3Cspan style=%22color:#006197;font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3E%3Cstrong%3EThe value you’ll bring to the team:%3C/strong%3E%3C/span%3E%3C/b%3E%3C/span%3E%3Cspan style=%22color:black;font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cb style=%22mso-bidi-font-weight:normal;%22%3E%3Cspan style=%22mso-fareast-font-family:%26quot;Times New Roman%26quot;;mso-themecolor:text1;%22%3E%3Cstrong%3E%3Co:p%3E%3C/o:p%3E%3C/strong%3E%3C/span%3E%3C/b%3E%3C/span%3E%3C/p%3E%3Cul style=%22margin-top:0in;%22 type=%22disc%22%3E%3Cli class=%22MsoNormal%22 style=%22color:black;margin-bottom:12.0pt;mso-list:l0 level1 lfo1;mso-themecolor:text1;tab-stops:list .5in;vertical-align:baseline;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-bidi-font-weight:bold;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EAlerts physician offices to issues with verifying insurance and communicates situations where medical necessity is not met.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22color:black;margin-bottom:12.0pt;mso-list:l0 level1 lfo1;mso-themecolor:text1;tab-stops:list .5in;vertical-align:baseline;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-bidi-font-weight:bold;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EReviews clinical records when following up on authorization requests directly with payors.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22color:black;margin-bottom:12.0pt;mso-list:l0 level1 lfo1;mso-themecolor:text1;tab-stops:list .5in;vertical-align:baseline;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-bidi-font-weight:bold;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EObtains initial and subsequent pre-authorizations for chemotherapy treatments and research protocols, noting approvals in the electronic medical record.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22color:black;margin-bottom:12.0pt;mso-list:l0 level1 lfo1;mso-themecolor:text1;tab-stops:list .5in;vertical-align:baseline;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-bidi-font-weight:bold;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EContacts insurance companies to obtain and verify insurance eligibility and benefits within established timeframes.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22color:black;margin-bottom:12.0pt;mso-list:l0 level1 lfo1;mso-themecolor:text1;tab-stops:list .5in;vertical-align:baseline;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-bidi-font-weight:bold;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EOther duties as assigned.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22color:black;margin-bottom:12.0pt;mso-list:l0 level1 lfo1;mso-themecolor:text1;tab-stops:list .5in;vertical-align:baseline;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-bidi-font-weight:bold;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EReviews chemotherapy regimen/treatment orders and determines insurance benefits and authorization requirements.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22color:black;margin-bottom:12.0pt;mso-list:l0 level1 lfo1;mso-themecolor:text1;tab-stops:list .5in;vertical-align:baseline;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-bidi-font-weight:bold;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EReviews clinical data such as patient pathology reports, scans, laboratory results, and prior treatments against insurance payor and most appropriate guidelines.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22color:black;margin-bottom:12.0pt;mso-list:l0 level1 lfo1;mso-themecolor:text1;tab-stops:list .5in;vertical-align:baseline;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-bidi-font-weight:bold;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EReviews clinical data such as patient pathology reports, scans, laboratory results, prior treatments, matching against insurance payor and/or National Comprehensive Cancer Network (NCCN) guidelines.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22color:black;margin-bottom:12.0pt;mso-list:l0 level1 lfo1;mso-themecolor:text1;tab-stops:list .5in;vertical-align:baseline;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-bidi-font-weight:bold;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EResponsible for communicating to service line partners of situations where medical necessity is not met to include review of journal articles, compendia and/or peer review to justify medical necessity approval Reviews clinical records when following up on authorization request directly with a payor.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22color:black;margin-bottom:12.0pt;mso-list:l0 level1 lfo1;mso-themecolor:text1;tab-stops:list .5in;vertical-align:baseline;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-bidi-font-weight:bold;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EEnsures specified medical terms, diagnosis, medication codes, and supporting clinical documentation are met.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22color:black;margin-bottom:12.0pt;mso-list:l0 level1 lfo1;mso-themecolor:text1;tab-stops:list .5in;vertical-align:baseline;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-bidi-font-weight:bold;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EFacilitates the sending of clinical information in support of authorization to payor or third-party administrators.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22color:black;margin-bottom:12.0pt;mso-list:l0 level1 lfo1;mso-themecolor:text1;tab-stops:list .5in;vertical-align:baseline;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-bidi-font-weight:bold;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EReviews medical records to confirm treatment is supported by approved medical studies.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22color:black;margin-bottom:12.0pt;mso-list:l0 level1 lfo1;mso-themecolor:text1;tab-stops:list .5in;vertical-align:baseline;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-bidi-font-weight:bold;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EStays current on payer preferences for biosimilar drugs and ensures patient orders are updated accordingly.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22color:black;margin-bottom:12.0pt;mso-list:l0 level1 lfo1;mso-themecolor:text1;tab-stops:list .5in;vertical-align:baseline;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-bidi-font-weight:bold;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EEnsures each treatment is coded, reviewed, and financially cleared based on patient insurance requirements.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22color:black;margin-bottom:12.0pt;mso-list:l0 level1 lfo1;mso-themecolor:text1;tab-stops:list .5in;vertical-align:baseline;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;%22%3E%3Cspan style=%22mso-bidi-font-weight:bold;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3EVerifies medical necessity in accordance with CMS standards and communicates relevant coverage/eligibility information to patients.%3C/span%3E%3Cspan style=%22mso-bidi-font-weight:bold;mso-fareast-font-family:%26quot;Times New Roman%26quot;;mso-spacerun:yes;%22%3E%26nbsp;%26nbsp; %26nbsp;%3C/span%3E%3Cspan style=%22mso-bidi-font-weight:bold;mso-fareast-font-family:%26quot;Times New Roman%26quot;;%22%3E%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3C/ul%3E

The expertise and experience you’ll need to succeed:

• High School Grad or Equiv Required
• One or more years of Work Experience Required
• Needs to have Healthcare and Insurance experience
• Epic is a plus
• Mature judgement in dealing with patients, physicians, and insurance representatives
• Intermediate knowledge of Microsoft programs and familiarity with database programs
• Ability to operate general office machines such as computer, fax machine, printer, and scanner
• Ability to effectively learn and perform multiple tasks, and organize work in a systematic and efficient fashion
• Ability to communicate professionally and effectively, both verbally and written
• Ability to adapt in ever changing healthcare environment
• Ability to follow complex instructions and procedures, with a close attention to detail
• Adheres to government guidelines such as CMS, EMTALA, and HIPAA and AdventHealth corporate policies
• Exceptional customer service skills
• Advanced understanding of insurance knowledge and benefits
• Advanced understanding of hospital electronic medical report (EMR) system
• Basic medical terminology
• Must be able to read, write, and speak conversational English
• Understanding of HIPAA privacy rules and ability to use discretion when discussing patient related information that is confidential in nature as needed to perform duties
• Intermediate medical terminology
• Bilingual – English/Spanish
• Pharmacy Tech - Provisional (PHATP) Preferred
• Certified Revenue Cycle Rep (CRCR) Preferred      

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