The RN Navigator provides care navigation, education, and triage for new oncology patients from initial referral through the consultation process. They collaborate with multidisciplinary teams and providers to develop care plans and coordinate necessary diagnostic testing.
The Revenue Cycle Manager oversees daily billing operations, including managing supervisors and teams to ensure efficient claims processing and performance goals. They are responsible for developing strategies to improve billing performance, patient experience, and ensuring compliance with all relevant policies and regulations.
The RN Advisor independently triages patient calls regarding symptoms, medications, and test results using established protocols. They are responsible for assessing patient needs, providing education, and ensuring efficient care management while maintaining high customer satisfaction.
The Triage Nurse Advisor independently manages patient calls regarding symptoms, medication refills, and test results using established protocols. They are responsible for assessing patient needs, providing education, and ensuring timely and appropriate care delivery.
The Coder 2 analyzes clinical documentation to assign accurate diagnosis and procedure codes while ensuring optimal reimbursement. They also resolve documentation discrepancies and provide feedback to providers to maintain high-quality coding standards.
The specialist is responsible for managing patient registration, verifying insurance eligibility, and collecting financial obligations within the revenue cycle. They also provide price estimates, educate patients on financial assistance, and resolve worklist tasks while maintaining compliance and privacy standards.
The Specialty Scheduling Coordinator manages appointment scheduling, intake, and referral processing for oncology patients. They collaborate with care teams and administration to ensure seamless patient experiences and accurate documentation in Epic.
The Physician Coding Denials Specialist manages and appeals coding denials to ensure accurate reimbursement for physician services. They analyze medical records, monitor coding trends, and collaborate with stakeholders to prevent future denials and improve documentation.
The Coder 4 reviews and codes inpatient clinical records using ICD-10-CM and ICD-10-PCS to ensure accurate reimbursement and compliance. They also resolve clinical documentation discrepancies and collaborate with CDI staff to improve code specificity and support revenue cycle operations.
The RN Advisor independently triages patient calls regarding symptoms, medication refills, and test results using established nursing protocols. They are responsible for assessing patient needs, providing education, and ensuring efficient care management while maintaining high customer satisfaction.
