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St. Charles Health System

Regional health system operating four hospitals

Cancer Center Financial Advocate

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Part-timeBend, OR, USA

About the Job

Requirements

  • A high school diploma or GED is required.
  • At least one year of experience in a healthcare, hospital, clinic, or medical insurance billing office is required.
  • Ability to wear the personal protective equipment required to perform the job safely.
  • Ability to communicate and interact professionally with a diverse population, internal stakeholders at all levels, and external customers or clients.
  • Ability to work under pressure in a fast-paced environment, multitask, and work independently.
  • Two years of college or a technical degree is preferred.
  • Certified Healthcare Financial Professional (CHFP) or a similar certification is preferred.
  • Oncology- or revenue cycle-related certifications are preferred.
  • At least two years of experience in a hospital, oncology, clinic, or medical billing environment is preferred.
  • Experience with oncology electronic medical record systems such as Mosaiq, Aria, or Epic is preferred.
  • Experience with insurance verification and authorization processes is preferred.

Responsibilities

  • Verify patient insurance eligibility and coverage, and determine copayments, deductibles, coinsurance, and maximum out-of-pocket amounts in accordance with organizational credit and collection guidelines.
  • Maintain working knowledge of Medicare, Medicaid, commercial, managed care, and HMO plans, and stay current on payer policies, authorization requirements, and regulatory changes.
  • Provide accurate and timely cost estimates for Cancer Center services using available estimation tools and payer-specific benefits.
  • Obtain and coordinate prior authorizations and referrals for services ordered by Cancer Center providers; track authorization expirations, regimen changes, surgical scheduling timelines, and treatment progression to prevent delays.
  • Identify and resolve insurance barriers that affect reimbursement eligibility for infusion, radiation, and surgical oncology services.
  • Coordinate peer-to-peer review support with providers when required.
  • Apply knowledge of CPT and ICD-10 coding relevant to oncology services to support authorization and billing processes.
  • Interpret NCCN-guided treatment pathways and payer oncology policies to ensure alignment with medical necessity requirements.
  • Identify and assist eligible patients with internal and external financial assistance programs, including free-drug, replacement-drug, and manufacturer assistance programs.
  • Collaborate with pharmacy and clinical staff to receive, document, log, and maintain inventory of medications obtained through assistance programs in accordance with compliance standards.
  • Refer patients to the organization's Financial Assistance Program and ensure timely distribution and completion of applications.
  • Assist with review, tracking, follow-up, and resolution of denied claims related to authorization or coverage issues.
  • Demonstrate analytical and problem-solving skills, including accurate calculation of financial responsibility.
  • Support the organization's vision, mission, and values in all activities.
  • Participate in Lean initiatives and continuous improvement efforts.
  • Maintain a safe environment for patients, caregivers, and visitors.
  • Conduct activities professionally and confidentially; comply with applicable laws, regulations, policies, and procedures; act ethically, report known or suspected violations, and cooperate with organizational investigations and proceedings.
  • Deliver customer service with professionalism, compassion, accuracy, and timeliness.
  • Perform additional duties of similar complexity as required or assigned.

About the Company

St. Charles Health System

Regional health system operating four hospitals

St. Charles Health System operates four hospitals and employs over 220 medical providers to deliver medical care in Central Oregon. It offers a full range of health services—from routine treatments to specialized care—through its hospitals and clinics. Patients receive care across inpatient stays, outpatient procedures, and community health programs managed by the system. Revenue comes from charging for patient care services, and the organization funds ongoing operations plus capital projects to expand and upgrade facilities. Its edge over competitors comes from being the largest regional health care system in Central Oregon with an integrated network of hospitals and clinicians, enabling coordinated care across multiple sites. The goal is to improve community health and work toward America’s healthiest community by expanding access to care and partnering with local organizations.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Oregon, United States
Founded
1918

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