Oncology Financial Coordinator

Intermountain Health Riverton Hospital – Riverton, UT – Full-time (40 hours/week)

About the role

The Oncology Financial Coordinator secures accurate financial approvals for oncology patients. This role analyzes and validates payer-specific benefits, estimates patient liability, and counsels patients on financial considerations throughout their care. The position collaborates with a multidisciplinary team including patients, revenue cycle staff, physicians, nurses, and pharmacists to mitigate financial risk for Intermountain Health.

Responsibilities

• Verify prescriber credentialing with the facility or Select Health, or confirm an active license in good standing.
• Ensure clinically appropriate documentation is received timely from medical providers/facilities and confirm medical necessity for services.
• Evaluate and confirm receipt of 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 from medical necessity or financial sponsorship changes affecting reimbursement.
• Make corrections in the patient's record to prevent denials and billing/reimbursement issues.
• Obtain insurance eligibility and benefit information, complete authorization requirements within required timeframes, and maintain authorizations throughout patient treatment.
• Ensure ongoing eligibility based on clinical documentation for medical necessity and complete reauthorization functions timely per payer requirements.
• Estimate cost of service using ICD-10 or CPT codes and calculate patient responsibility using insurance benefit information.
• Analyze patient/guarantor's previous account history to guide financial conversations.
• Educate patients regarding Medicare ABN, potential non-coverage costs, and ramifications of not signing the form; send ABN to patient if necessary and communicate status to the Infusion Clinic.

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.
• Outstanding public relations and interpersonal skills.
• Strong organizational skills; ability to multitask, complete work accurately and timely.
• Self-starter and team-oriented with flexibility to adapt to change; ability to work with minimal supervision.

Preferred Qualifications

• Bachelor's degree in a healthcare field or business.
• Bilingual proficiency.
• Excellent written and verbal communication skills.

Skills

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

Pay

$20.35 - $30.97 per hour, dependent upon experience.

Benefits

Comprehensive benefits package covering mind, body, and spirit, including programs for health, happiness, security, connection, and engagement. Learn more about our benefits.