Financial Coordinator-FT-Medical Oncologhy-Provo

At Revere Health, we believe there is a better path to healing and healthcare maintenance, and we’re working on this mission—one patient at a time. We’re a national leader in a movement called value-base care which aims to improve treatment outcomes and keep costs down. Our internal culture is one that promotes respect and consistently recognizes the impact that individual employees have on the mission of the organization.

Position Summary:
Responsible for the over-all financial processes of the department as they relate to the treatment of Oncology patients. Determines insurance eligibility and benefits, obtains authorizations when applicable. Works as an advocate for the patient in dealing with insurances and available programs to ensure proper payment of services.

Essential Job Functions:

Insurance Verification Process

• Call insurance company and verify eligibility and benefits.
• Fill out benefit verification form and scan into patient’s medical record.
• Checks chemo pods to verify patient insurance and authorization is correct.

Indigent Patient Process

• Refer to social work for Medicaid and/or SSI disability applications.
• Fill out and submit patient assistance drug form.
• Follow-up on shipping and receipt of drugs.
• Submit to billing for removal of charges from patient’s account.

Underinsured Patient Process

• Research for foundation assistance with account balances.
• Fill out and submit appropriate forms for reimbursement.
• Ensure billing is correctly submitted to business office.

Follow-Up Processes

• Follow up on new patients consults to verify if patient’s treatment or IV.
• If yes, complete required preauthorization for treatment.
• If patient does not have insurance coverage, research and submit paperwork to assistance programs.
• Follow-up on treatment patients to update any required authorization for continuing treatment.
• Follow-up on patient accounts to ensure payment for treatments or procedures in question.
• Ensure all required authorizations have been obtained.
• Review weekly patient/insurance balance report.
• Task all action into patient records.

Foundations

• Ensures all patients that are eligible for copay assistance/foundation are enrolled in programs.
• Submits claims to foundations in a timely manner.
• Ensures foundation payments are posted with the correct amount to the correct codes.
• Enrolls patients in a payment plan to avoid collections.
  

Qualifications:

• 2 years working in a medical office (oncology preferred)
• Basic understanding of insurance authorization processes
• Communication skills required. Must be able to interact with Providers, other medical office employees, and patients.
  

Hours: M-F 8-5 VARIES