Cancer Insurance Specialist

Job Description

Be a part of a world‑class academic healthcare system, UChicago Medicine, as a Cancer Insurance Specialist in the Finance department. This position will be primarily a work‑from‑home opportunity with the requirement to come onsite as needed. You may be based outside of the greater Chicagoland area. This is a 3‑year grant‑funded position.

• Works with patients and families and collaborates with members of the clinical and administrative team, including Patient Access and Call Center teams, from the point of initial referral through clinical evaluation, and continuing through active treatment and follow‑up visits.
• Routinely interacts with insurance companies to ensure proper payments for all cancer‑related services, and serves as an advocate for the patient when billing problems occur.
• Advises patients of anticipated costs.
• Works with health insurance providers to determine coverage, benefit limits, and financial responsibility.
• Uses the patients’ electronic health record to both access and document information which supports authorization, ensuring a systematic approach to sharing critical information.
• Networks with other pre‑certification/insurance employees across UCM’s billing entities to stay abreast of and share recent changes, updates, and processes.
• Provides complete information to the Single Case Agreement Team on initial request to facilitate a standardized and systematic process for non‑par insurance plans.
• Maintains and develops clear lines of communication with insurance representatives from multiple insurance companies who provide pre‑certification/authorization guidelines unique to their company. Must manage work across departments, work independently with minimal supervision, and participate in administrative decisions.
• Strong communication skills, attention to detail, problem solving, and a high degree of organization are critical qualities.

• Bachelor’s degree, or equivalent, and/or two (2) years of experience working in medical insurance verification and/or other healthcare finance areas.
• Minimum of five (5) years of related healthcare registration, billing and/or reimbursement experience.
• Advanced insurance authorization and registration techniques.
• Website insurance training (Navinet, WebMD, Passport).
• EPIC training & testing (Prelude/Cadence).
• Registration Essentials.
• Windows‑based PC experience.
• Resource scheduling experience preferred (e.g., ancillary testing).
• Previous experience in complex clinical settings requiring coordination of multiple services.
• Utilization of hospital revenue systems.
• Background in medical terminology; oncology experience.

• Ability to schedule and register patients rapidly and accurately.
• Ability to interact professionally with patients, physicians, insurance companies, and other members of hospital staff.
• Strong communication skills and ability to communicate courteously and effectively with physicians, payors, and staff.
• Self‑motivated.
• Highly organized and dependable, able to work with minimal supervision.
• Ability to prioritize and work on several projects simultaneously while maintaining communication with all invested parties.
• Ability to complete multiple tasks and work under pressure and in stressful situations.
• Ability to learn new procedures quickly.
• Ability to display compassion and empathy while maintaining confidentiality of patient information.

• Job type/FTE: 1.00 FTE
• Shift: Days Monday‑Friday (no weekends) 8:00 am‑5:00 pm (flexible start time) – Rotation, Hyde Park
• Unit/department:
  Finance
• CBA code:
  Non‑Union

UChicago Medicine is an equal‑opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics.

All employees are required to complete a pre‑employment physical, background check, drug screening, and comply with the flu vaccination requirements prior to hire. Medical and religious…