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Intermountain Health · 16 hours ago

Oncology Financial Coordinator

Intermountain Health Logan Regional Hospital

Full-time

Onsite

New Grad, Entry Level

$19.85/hr - $30.21/hr

Intermountain Health is a healthcare organization seeking an Oncology Financial Coordinator to manage financial approvals for patients. This role involves analyzing patient information, collaborating with a multidisciplinary team, and ensuring accurate financial reviews to mitigate risks.

Health Care

Responsibilities

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

Qualification

ICD CodingMedical BillingCodingHealthcare Common Procedure Coding System (HCPCS)Medical Records ManagementClinical DocumentationCustomer ServiceBi-lingualOrganizational SkillsCommunication SkillsTeam Oriented

Required

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

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

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

Preferred

Bachelor's degree in a health care field or business

Bi-lingual

Communication skills, both written and verbal

Benefits

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.