Financial Coordinator - Medical Oncology - F/T

Company: RevereHealth
Location: Provo
Posted on: June 25, 2022

Job Description:

At Revere Health, we value the health of our patients above all else. As the largest independent multi-specialty physician group in Utah, our healthcare system gives patients the best in communication, quality, coordination and innovation. Founded in 1969 in Provo, Utah, Revere Health has grown to include 29 medical specialties in over 100 locations throughout Utah, Arizona and Nevada.

As the first Accountable Care Organization (ACO) accredited by Medicare in Utah, and the only Next Generation ACO in the state, Revere Health offers a unique, patient-oriented approach to healthcare. We strive to keep medical costs at a minimum while providing the utmost in quality healthcare.

Revere Health: Your Health Above All Else.

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.

Follow-up Process

* Follow up on new patients consults to verify if patient's treatment is Oral and/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: 8am-5pm Monday-Friday

Keywords: RevereHealth, Provo , Financial Coordinator - Medical Oncology - F/T, Accounting, Auditing , Provo, Utah