Oncology Financial Coordinator

2 weeks ago


Murray, United States Intermountain Healthcare Full time
Job Summary

The Oncology Financial Coordinator plays a vital role in ensuring the financial well-being of patients undergoing cancer treatment at Intermountain Health. This position is responsible for obtaining accurate financial approvals, analyzing and validating information, and mitigating financial risk to the organization.

Key Responsibilities
  • Verify prescriber credentials and medical necessity for services provided.
  • Ensure clinically appropriate documentation is received timely from medical providers.
  • Evaluate the need for and confirm Letter of Medical Necessity 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.
  • Return forms to physicians if requirements are not completed and educate on need.
  • Obtain insurance eligibility and benefit information, ensure authorization requirements are completed, and maintain authorizations throughout patient treatment.
  • Use resources to find additional financial assistance for patients.
  • Ensure proper documentation of financial assistance procured for each patient.
  • Estimate cost of service using ICD-10 or CPT codes and analyze patient/guarantor's previous account history to guide financial conversation.
  • Communicate with patients regarding resources established and patient obligation remaining.
  • Educate patients regarding Medicare ABN and potential costs associated with non-coverage.
  • May lead and/or train new employees in account preparation and review functions.
  • Maintain a satisfactory level of performance and adherence to workload standards.
Requirements
  • Experience as a Financial/Eligibility Counselor, Health insurance related experience, or Certificate in healthcare coding.
  • Customer service experience in a healthcare, insurance, or financial field.
  • Demonstrated outstanding public relations and interpersonal skills.
  • Demonstrated organizational skills, ability to multi-task, and complete work timely and accurately.
  • Demonstrated self-starter and team-oriented, flexibility to adapt to change, and ability to work with minimal supervision.
Preferred Qualifications
  • Bachelor's degree in a health care field or business.
  • Bi-lingual (Spanish).
  • Communication skills, both written and verbal.
  • Demonstrated knowledge of CPT/ICD 10 codes.
  • Medical terminology.
Physical Requirements
  • Interact with others requiring the ability to communicate information.
  • Operate computers and other office equipment.
  • See and read computer monitors and documents.
  • Remain sitting or standing for long periods of time.


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