Full-Time

Oncology Financial Navigator

Posted on 11/22/2024

Intermountain Healthcare

Intermountain Healthcare

10,001+ employees

Intermountain Healthcare is a nonprofit health system.

Healthcare

Compensation Overview

$19.27 - $29.33Hourly

Entry

Park City, UT, USA

Position requires in-office work.

Category
Financial Planning and Analysis (FP&A)
Finance & Banking
Required Skills
Financial analysis
Customer Service
Requirements
  • Experience as a Financial/Eligibility Counselor, - OR - Health insurance related experience (billing, authorizations, etc.) - OR – Certificate in healthcare coding
  • 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.
  • Bachelor's degree in a health care field or business. (Preferred)
  • Bi-lingual (Spanish) (Preferred)
  • Communication skills, both written and verbal (Preferred)
  • Demonstrated knowledge of CPT/ICD 10 codes (Preferred)
  • Medical terminology (Preferred)
Responsibilities
  • Obtaining accurate financial approvals for patients at Intermountain Health.
  • Analyzing and validating the information needed to obtain financial approval for services.
  • Mitigating 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.
  • Providing a platform for counseling patients on financial considerations throughout their care experience.
  • Working with a multidisciplinary team consisting of patients, revenue cycle, physicians, nurses, and pharmacists.
  • Verifying the prescriber is currently credentialed with the facility or through Select Health, or verifies the prescriber has an active license in good standing and ensures medical necessity is appropriate for type of services being provided.
  • Evaluating the need for, and if appropriate, confirming Letter of Medical Necessity has been received to ensure third party payment.
  • Ensuring orders include an appropriate ICD-10 code.
  • Collaborating with clinicians and intake managers to minimize risk associated with medical necessity or financial sponsorship changes that affect the reimbursement.
  • Making appropriate corrections in the patient's record to ensure accuracy in order to prevent denials and/or problems with billing and reimbursement.
  • Returning form to physician if all requirements are not completed on the prescription form and educating physician regarding need.
  • Obtaining insurance eligibility and benefit information, ensuring authorization requirements are completed within the required timeframe, and maintaining appropriate authorizations throughout patient treatment at the specified clinic.
  • Ensuring ongoing eligibility based on clinical documentation for medical necessity and ensuring reauthorization functions are completed in a timely manner, based on individual payer requirements.
  • Using resources available to find any additional financial assistance for patients.
  • Ensuring proper documentation of financial assistance procured for each patient.
  • Estimating cost of service using ICD-10 or CPT codes.
  • Performing calculations using insurance benefit information to accurately estimate patient responsibility.
  • Analyzing patient/guarantor's previous account history to guide financial conversation.
  • Communicating with patients the resources that have been established and the patient's obligation that remains.
  • Educating patient regarding Medicare ABN and potential costs associated with non-coverage, as well as ramifications of not signing the form.
  • Sending the Medicare ABN to the patient if necessary.
  • Communicating the ABN status to the specific Infusion Clinic.
  • May lead and/or train new employees in account preparation and review functions.
  • Maintaining a satisfactory level of performance and adherence to workload standards.
  • Understanding and being compliant to all state and federal laws, regulations, policies and procedures, and guidelines related to the specific area of practice.
  • Consistently demonstrating excellent customer service skills including problem solving, telephone etiquette, and responsiveness to customers.
Intermountain Healthcare

Intermountain Healthcare

View

Company Stage

Grant

Total Funding

$1.8M

Headquarters

Salt Lake City, Utah

Founded

N/A

Simplify Jobs

Simplify's Take

What believers are saying

  • Intermountain Health's expansion into Nevada and Colorado through partnerships and new facilities increases its market presence and accessibility to patients.
  • The $2.4 million NIH grant for cardiac research positions Intermountain Health at the forefront of medical innovation and research.
  • Successful pilot programs, such as the virtual cardiology care with Story Health, highlight Intermountain's ability to improve patient outcomes and operational efficiency.

What critics are saying

  • The rapid expansion and numerous partnerships may strain Intermountain Health's resources and operational capacity.
  • The competitive healthcare landscape requires continuous innovation and adaptation to maintain leadership and avoid being outpaced by rivals.

What makes Intermountain Healthcare unique

  • Intermountain Health's strategic partnerships, such as with Story Health and NeuroFlow, enhance its service offerings in cardiology and behavioral health, setting it apart from other healthcare providers.
  • The organization's focus on innovative care models, like virtual cardiology and behavioral health integration, demonstrates a commitment to cutting-edge healthcare solutions.
  • Intermountain Health's recognition as the top large health system by Fortune Magazine underscores its leadership and excellence in the healthcare sector.

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