Job Description

Rep, Patient Access

Cancer care is all we do

Hope in healing

Cancer Treatment Centers of America® (CTCA®) takes a unique and integrative approach to cancer care. Our patient-centered care model is founded on a commitment to personalized medicine, tailoring a combination of treatments to the needs of each individual patient. At the same time, we support patients’ quality of life by offering therapies designed to help them manage the side effects of treatment, addressing their physical, spiritual and emotional needs, so they are better able to stay on their treatment regimens and get back to life. At the core of our whole-person approach is what we call the Mother Standard® of care, so named because it requires that we treat our patients, and one another, like we would want our loved ones to be treated. This innovative approach has earned our hospitals a Best Place to Work distinction and numerous accreditations. Each of us has a stake in the successful outcomes of every patient we treat.

Job Description:

Patient Financial Services Advocate

Hours: Mon - Fri 9:30am - 6:00pm

Job Summary/Purpose:

The Patient Financial Services Advocate will have multiple primary responsibility that all are required to perform, but can be assigned specifically as needed to meet business needs. Those primary functions are:

  • Primary Function- Verification of all Non-Oncology/Oncology Pathways
    • Perform verification for all plans, including specialty benefits i.e. stem cell and make financial decision to approve or deny plans. Communicate with patient, or caregiver outcome, and relay all benefits including patient liability. Work with employer groups, insurance plans as needed for single case agreements.  Work with internal and external areas to obtain or resolve insurance issues. Knowledge of authorization process, obtain as needed based on pathways.  Resolve all  potential delays as needed for all pathways
  • Primary Function- Admin Exceptions
    • Assist with resolving Admin Exceptions by contacting patient, plans, employer groups, or caregivers. Research any issues or delays in regards to return patient exceptions. Assist as needed with New Patient Admin Exceptions by contacting patient, employer groups, or caregivers, Keep Knowledge current in regards to contracted payers, insurance reimbursement trends.

This role has the potential to directly impact patient capture rates and increase revenues. The Patient Financial Services Advocate serves as front line resource for the Oncology Information Specialists and prospective CTCA patients.  The Patient Financial Services Advocate Specialist will be cross trained with Benefits Finance Specialist.

Minimum Qualifications:

  • Minimum High School Diploma or equivalent
  • Bachelor’s degree in Business, Healthcare Administration, and/or Finance is desirable. 
  • 3 - 5 years’ experience in healthcare business office environment with focus on Insurance Coverage and/or Patient Accounts experience preferred.
  • Prefer experience in healthcare/insurance industry, specific to claims processing, benefit coverage, patient accounts, and physician/hospital insurance verification or healthcare finance.
  • Strong understanding of insurance/healthcare terminology to include ICD-10and CPT Coding is preferred.
  • Prefer experience with insurance case negotiations and familiarity with healthcare/payer contracting.
  • Familiar with Microsoft Outlook, Basic Computer Skills, and Basic Office Equipment,
  • Ability to or learn to read and understand insurance terminology, verify insurance coverage quotes and the ability to understand and calculate reimbursement percentages
  • Preferred  knowledge of insurance requirements needed, forms, and understanding of out of network payers, secondary networks, non-local, national insurances,
  • Knowledge of financial counseling process, patient assistance programs, and charity care qualification is preferred
  • In-depth knowledge base regarding: regulatory compliance, insurance company requirements, HIPAA, FMLA, COBRA, Patient Rights, Compliance, EMTALA, Medicare and Medicaid is preferred

We win together

Each CTCA employee is a Stakeholder, driven to make a true difference and help win the fight against cancer. Each day is a challenge, but this unique experience comes with rewards that you may never have thought possible. To ensure each team member brings his or her best self, we offer exceptional support and immersive training to encourage your personal and professional growth. If you’re ready to be part of something bigger and work with a passionate, dynamic group of care professionals, we invite you to join us. 

Visit:  Jobs.cancercenter.com to begin your journey.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

Apply Online