Founded in 1913, City of Hope is a national medical center offering research and treatment for life-threatening diseases, such as cancer and diabetes. Located i
Insurance Specialist - Clinical Trials
Location
United States
Posted
22 hours ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Insurance Specialist - Clinical Trials
City of Hope
Role Description Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. The Research Insurance Specialist is essential in the success of supporting clinical trials. The primary task is to verify insurance policy benefit information and obtain authorizations/pre-certifications for services not covered by the clinical trial study. - Verify with the clinical trial patient’s insurance provider if the patient has coverage to participate in the proposed trial. - Using a clinical trial study coverage analysis, determine for each upcoming appointment whether the upcoming service will be covered by the study sponsor or if prior authorization is needed. - Obtain timely authorizations/pre-certifications when needed for all services not covered under the study. As a successful candidate, you will: - Obtain Insurance Benefits Confirmation: - Review billing grid/budget and compile a list of all standard of care procedures associated with research. - Verify hospital and professional insurance policy benefits for clinical trial patients through telephone contact, mail/facsimile, or online inquiry. - Enter information concerning the policy benefits into the system and update insurance information. - Ongoing Authorization: - Review billing grid/budget to determine if upcoming services require authorization and update in medical record. - Request authorization extension or new authorizations for continuity of care for research as needed or when coverage changes and input updates into the system. - Customer Service: - Ensure a high level of customer service by being a resource to patients and team members. - Serve as a liaison between patients and support staff. - Develop effective relationships with colleagues, physicians, providers, leaders, and other employees across the organization. - Demonstrate genuine interest in helping our patients, providers, and other employees by using excellent communication skills, being polite, friendly, patient, and calm under pressure. Qualifications - High School Diploma - 2 years of related experience - 1+ years of healthcare experience working with insurance/authorizations Benefits - City of Hope employees' pay is based on work experience, qualifications, and work location. - City of Hope is an equal opportunity employer. - To learn more about our Comprehensive Benefits, please CLICK HERE .
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