Tennessee Cancer Specialists, PLLC
Insurance Reviewer - Clinical
Tennessee Cancer Specialists, PLLC, Knoxville, Tennessee, United States, 37955
Insurance Reviewer – Clinical
Location: Tennessee Cancer Specialists, PLLC, Knoxville, Tennessee. This is a full‑time, non‑remote, in‑office position requiring presence during scheduled business hours. Seniority: Mid‑Senior level.
Overview As an Insurance Reviewer, you will determine the financial responsibility of our patients based on communicated treatment plans and serve as a resource to multiple areas of the practice. Your role is unique as you work closely with multiple departments to interpret treatment plans and facilitate approvals.
Responsibilities
Work closely with clinical team members, patient advocate, and patient assistance team to determine financial needs.
Build trust with providers and other clinical team members to support treatment plans.
Understand and coordinate insurance verification and pre‑authorization processes.
Document and communicate process details to keep the team updated on a patient’s financial status.
Maintain patient confidentiality and protect clinic information.
Support additional tasks as required.
Required Experience
Minimum 3 years medical insurance verification and authorization experience.
Knowledge of medical terminology and medical coding.
Proficiency in MS Word, Excel, Outlook, and office equipment operation.
High school diploma or equivalent required; associate degree in healthcare, LPN license, or registration preferred.
Experience in oncology/hematology or bilingual ability is a major benefit.
Physical Demands
Required to sit for long periods with occasional stooping, bending, and lifting up to 30 pounds.
Manual dexterity, adequate vision and hearing for prolonged computer use.
Full range of body motion, occasional lifting of 40 pounds.
Employment Type Full‑time.
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Overview As an Insurance Reviewer, you will determine the financial responsibility of our patients based on communicated treatment plans and serve as a resource to multiple areas of the practice. Your role is unique as you work closely with multiple departments to interpret treatment plans and facilitate approvals.
Responsibilities
Work closely with clinical team members, patient advocate, and patient assistance team to determine financial needs.
Build trust with providers and other clinical team members to support treatment plans.
Understand and coordinate insurance verification and pre‑authorization processes.
Document and communicate process details to keep the team updated on a patient’s financial status.
Maintain patient confidentiality and protect clinic information.
Support additional tasks as required.
Required Experience
Minimum 3 years medical insurance verification and authorization experience.
Knowledge of medical terminology and medical coding.
Proficiency in MS Word, Excel, Outlook, and office equipment operation.
High school diploma or equivalent required; associate degree in healthcare, LPN license, or registration preferred.
Experience in oncology/hematology or bilingual ability is a major benefit.
Physical Demands
Required to sit for long periods with occasional stooping, bending, and lifting up to 30 pounds.
Manual dexterity, adequate vision and hearing for prolonged computer use.
Full range of body motion, occasional lifting of 40 pounds.
Employment Type Full‑time.
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