Oncology Financial Coordinator

Intermountain Health•Riverton, NJ
•$20 - $31•Hybrid

About The Position

The Oncology Financial Coordinator obtains accurate financial approvals for patients at Intermountain Health by analyzing and validating information needed to approve services. The role helps mitigate financial risk through accurate financial reviews and comprehensive analysis of payer-specific benefits and patient liability. It also supports counseling patients about financial considerations throughout their care experience. The coordinator works with a multidisciplinary team that includes patients, revenue cycle staff, physicians, nurses, and pharmacists. This position is based at Intermountain Health Riverton Hospital in Riverton, Utah. The schedule is Monday through Friday, 8:30 a.m. to 5:00 p.m., with one day per week working from home after training. It is benefits-eligible and scheduled for 40 hours per week. The hourly pay range is $20.35–$30.97, dependent on experience.

Requirements

  • Experience as a Financial/Eligibility Counselor, health insurance-related experience such as billing or authorizations, or a certificate in healthcare coding.
  • Demonstrated customer service experience in a healthcare, insurance, or financial field.
  • Outstanding public relations and interpersonal skills.
  • Organizational skills and the ability to multitask while completing work accurately and on time.
  • Ability to be self-starting and team-oriented, adapt to change, and work with minimal supervision.

Nice To Haves

  • Bachelor’s degree in a healthcare field or business.
  • Bilingual ability.
  • Written and verbal communication skills.

Responsibilities

  • Verify that the prescriber is credentialed with the facility or through Select Health, or has an active license in good standing.
  • Ensure clinically appropriate documentation is received promptly from medical providers or facilities and that medical necessity is appropriate for the services provided.
  • Evaluate whether a Letter of Medical Necessity is needed and, when appropriate, confirm that it has been received to support third-party payment.
  • Ensure orders include an appropriate ICD-10 code.
  • Collaborate with clinicians and intake managers to reduce risks related to medical necessity or changes in financial sponsorship that affect reimbursement.
  • Correct patient records as needed to maintain accuracy and prevent denials or billing and reimbursement problems.
  • Obtain insurance eligibility and benefit information; complete authorization requirements within required timeframes; and maintain authorizations throughout treatment at the specified clinic.
  • Monitor ongoing eligibility based on clinical documentation for medical necessity and complete reauthorizations on time according to payer requirements.
  • Estimate service costs using ICD-10 or CPT codes and calculate patient responsibility using insurance benefit information.
  • Review the patient’s or guarantor’s prior account history to guide financial discussions.
  • Educate patients about Medicare ABNs, potential costs associated with non-coverage, and the consequences of not signing the form.
  • Send the Medicare ABN to the patient when necessary and communicate ABN status to the relevant Infusion Clinic.

Benefits

  • Benefits eligibility is offered.
  • The company describes a comprehensive benefits package intended to support well-being across physical, mental, and other aspects of life; specific benefits are not listed in the posting.
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