IMH

Oncology Financial Coordinator

IMH

full-time

Posted on:

Location Type: Hybrid

Location: Provo • Utah • United States

Visit company website

Explore more

✨ AI Apply
Apply

Salary

💰 $20 - $30 per hour

About the role

  • The Oncology Financial Coordinator is responsible for obtaining accurate financial approvals for patients at Intermountain Health.
  • The Oncology Financial Coordinator is responsible for analyzing and validating the information needed to obtain financial approval for services.
  • This position mitigates the financial risk to Intermountain Health by performing an accurate financial review along with a comprehensive analysis of patient payer specific benefits and patient liability and provides a platform for counseling patients on financial considerations throughout their care experience.
  • This position works with a multidisciplinary team consisting of patients, revenue cycle, physicians, nurses, and pharmacists.
  • Verify the prescriber is currently credentialed with the facility or through Select Health, or verifies the prescriber has an active license in good standing.
  • Ensure clinically appropriate documentation is received timely from medical providers/facilities, and ensures medical necessity is appropriate for type of services being provided.
  • Evaluate the need for, and if appropriate, confirms Letter of Medical Necessity has been received to ensure third party payment.
  • Ensure orders include an appropriate ICD-10 code.
  • Collaborate with clinicians and intake managers to minimize risk associated with medical necessity or financial sponsorship changes that affect the reimbursement.
  • Make appropriate corrections in the patient's record to ensure accuracy in order to prevent denials and/or problems with billing and reimbursement.
  • Obtain insurance eligibility and benefit information, ensures authorization requirements are completed within the required timeframe, and maintains appropriate authorizations throughout patient treatment at the specified clinic.
  • Ensure ongoing eligibility based on clinical documentation for medical necessity and ensure reauthorization functions are completed in a timely manner, based on individual payer requirements.
  • Estimate cost of service using ICD-10 or CPT codes.
  • Performs calculations using insurance benefit information to accurately estimate patient responsibility.
  • Analyzes patient/guarantor's previous account history to guide financial conversation.
  • Educate patient regarding Medicare ABN and potential costs associated with non-coverage, as well as ramifications of not signing the form.
  • Sends the Medicare ABN to the patient if necessary.
  • Communicates the ABN status to the specific Infusion Clinic.

Requirements

  • Experience as a Financial/Eligibility Counselor, Health insurance related experience (billing, authorizations, etc.), or Certificate in healthcare coding.
  • Demonstrated customer service experience in a healthcare, insurance, or financial field.
  • Demonstrated outstanding public relations and interpersonal skills.
  • Demonstrated organizational skills.
  • Multi-tasker with demonstrated ability to complete work timely and accurately.
  • Demonstrated self-starter and team oriented, flexibility to adapt to change, ability to work with minimal supervision.
  • Bachelor's degree in a health care field or business (preferred).
  • Bi-lingual Communication skills, both written and verbal (preferred).
Benefits
  • We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
financial analysisICD-10 codingCPT codinginsurance eligibility verificationauthorization managementbillingcost estimationmedical necessity evaluationpatient liability analysishealthcare coding
Soft Skills
customer servicepublic relationsinterpersonal skillsorganizational skillsmulti-taskingself-starterteam-orientedflexibilitycommunication skillsadaptability
Certifications
Certificate in healthcare coding