Financial Coordinator Oncology

13000 Logan Regional Hospital; United States; On-site; USD 28,000 - 41,000; Full time

Benefits offered by this job

Comprehensive benefits package

PEAK tuition program

Job summary

Intermountain Health Logan Regional Hospital seeks an Oncology Financial Coordinator to secure accurate financial approvals and analyze payer benefits and patient liability. The role provides counseling on financial considerations throughout care, collaborating with physicians, nurses, pharmacists, and revenue cycle staff.

The position emphasizes ensuring medical necessity, verifying eligibility, and guiding patients through the reimbursement landscape with a patient-centered approach.

Qualifications

• Experience in financial/eligibility counseling or healthcare coding.
• Experience with medical billing and insurance processes.
• Strong customer service and interpersonal skills.
• Excellent organizational and multitasking abilities.

Responsibilities

• Verify prescriber credentials and licensing status.
• Ensure medical necessity and documentation are appropriate for services.
• Confirm Letters of Medical Necessity when needed for third-party payment.
• Ensure ICD-10 codes are included on orders.
• Collaborate with clinicians to minimize reimbursement risk.
• Make corrections in patient records to prevent denials.
• Obtain insurance eligibility and benefits, and maintain authorizations.
• Monitor reauthorization timing based on payer requirements.
• Estimate service costs using ICD-10 or CPT codes.
• Compute patient responsibility from insurance benefits.

Skills

HCPCS coding

ICD Coding

Medical Billing

Medical Insurance Coding

Medical Records Management

Coding Education

Coding Practices

Clinical Documentation

Health Administration

Education

Bachelor's degree in health care or business

Certificate in healthcare coding

Job description

Oncology Financial Coordinator

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.

Essential Functions

• 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, confirm 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.

Minimum Qualifications

• 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.

Preferred Qualifications

• Bachelor's degree in a health care field or business.
• Bi-lingual - Spanish and English Communication skills, both written and verbal.

Skills Required

• Healthcare Common Procedure Coding System (HCPCS)
• ICD Coding
• Medical Billing and Coding
• Medical Insurance Coding
• Medical Records Management
• Coding Education
• Coding Practices
• Clinical Documentation
• Health Administration

Location and Hours

Location: Intermountain Health Logan Regional Hospital

Work City: Logan

Work State: Utah

Scheduled Weekly Hours: 30

Salary

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $20.35 - $30.97

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.

Learn more about our comprehensive benefits package here.

Our PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment.

Employer Information

Headquartered in Utah with locations in six primary states and additional operations across the western U.S., Intermountain Health is a nonprofit system of 34 hospitals, 400+ clinics, a medical group of more than 4,800 employed physicians and advanced care providers, a health plan division called Select Health with more than one million members, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery.

Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment.

Equal Opportunity Statement

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Application Policy & Confidentiality

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

Accessibility Contact

If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact 1-800-843-7820 or email [e-mail]. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.