Financial Coordinator - Oncology

Lehigh Valley Health Network•Pottsville, PA

13d•Onsite

About The Position

Lehigh Valley Health Network (LVHN) is seeking a Financial Coordinator for their Oncology department. This role is crucial for ensuring the financial collectability of chemotherapy and supportive care treatments by reviewing daily schedules, obtaining proper authorizations, and collaborating with patient financial services to resolve denial issues. The coordinator will also work with patients and families to address account balance issues, assess for external financial resources, and complete necessary applications. LVHN is a nationally recognized, forward-thinking health network committed to teamwork, compassion, and technology, offering opportunities for professional growth.

Requirements

High School Diploma/GED
2 years Experience working in oncology
Ability to anticipate and understand customer financial needs; document and/or relay patients needs to appropriate personnel.
Demonstrates expert knowledge in determining third-party insurance medical benefits and billing requirements.
Must be able to maintain confidentiality and have an understanding of patient's rights.
Must understand oncology-specific treatments and related insurance coverage issues, including rules governing medical necessity.
Must possess the ability to combine compassion with strong professional skills.

Nice To Haves

Associate’s Degree

Responsibilities

Reviews daily infusion center schedules for the Cancer Institute Infusion Centers to ensure standard of care and obtain proper authorizations for account collectability.
Collaborates with patient financial services to resolve issues related to authorization and medical necessity denials to protect hospital revenue.
Works with patients/families to resolve account balance issues and assesses for external resources to reduce out-of-pocket expenses, completing applications and obtaining financial information.
Obtains referrals and authorization for infusion schedule tasks.
Prepares medical necessity checks.
Identifies uninsured/under-insured patients.
Verifies benefits and eligibility.
Ensures registration and billing accuracy.
Answers billing and insurance questions.
Tracks and reports all activities on a monthly basis (x:drive report).
Arranges peer-to-peer process for LVPG Hematology Oncology office.
Facilitates self-pay and good faith estimates to present to patients.
Facilitates off-label or non-covered services process (ABN waiver process), including estimate charges and out-of-pocket costs.
Assists patients with pharmaceutical drug replacement (IV and oral medication) and copay relief programs.
Works denial work queues for medical necessity and missing authorization in collaboration with Patient Financial Services and Appeals departments.
Refers patients to outside resources (PATHS) and APPRISE (advice on Medicare supplements/replacement), and handles pharmacy charity card approval/distribution and cancer funds.
Facilitates the financial assistance program process if working at the Cancer Institute.