Job Information

University of Utah Health Oncology Financial Admission & Enrollment Specialist in SALT LAKE CITY, Utah

Overview

As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, diversity, integrity, quality and trust that are integral to our mission. EO/AA

For use in RCSS only. This position is responsible for informing and assisting patients with their financial obligations for oncology health care services, through education, insurance benefit confirmation, coverage enrollment assistance, financial hardship applications, or other funding programs. This position is not responsible for providing care to patients.

Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our four hospitals and seventeen clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.

Responsibilities

  • Perform Referral/Authorization verification to confirm secured services, or address authorization denials and patient liability.

  • Pre-screens patients and conducts early intervention to determine financial risk (i.e. job loss, change in social circumstance or other impacting factors)

  • Conducts interviews and screenings for unfunded patients to determine all available funding source(s), including commercial insurance, government programs (Medicare, Medicaid), Affordable Care Act plans, University Cobra assistance program, referral to social security and disability, or other programs/sources.

  • Works with government agencies, third party payers, and other key parties to process applications, paperwork or other requirements until completion and/or resolution.

  • Assists uninsured patients with financial hardship applications. May grant full or partial charity, prompt pay discounts, or payment arrangements.

  • Coordinate internal referral to Huntsman resources i.e. social workers, wellness clinic or any additional services that would help reduce patient’s expenses outside of medical bills (i.e. housing, medications etc.)

  • In collaboration with provider/clinic, produce cost comparison price estimates to determine the most cost effective treatment plan.

  • Collaboration with case management and providers to address direct admissions and assist with transition of care due to lack of insurance coverage.

  • Coordinates with patient for payment of estimated patient responsibility

  • May coordinate and obtain "Certificate of Medical Necessity" or other approval for scheduled services when patient is unable to make payment towards services.

  • Coordinates communication with patients, families, providers or other key parties when authorization or benefits are not secured.

  • Displays and understands the difference between individual and collective accountability; promotes cooperation and commitment to team goals.

  • May perform other duties as assigned.

Knowledge / Skills / Abilities

  • Have strong knowledge of Cancer resources and review patients for cancer programs, referral to cancer foundations

  • Strong understanding of clinical treatment plans and corresponding clinical trials that a patient may qualify for

  • Coordinate and communicate with patients regarding treatment plan, insurance benefits, and financial questions, with empathy and compassion

  • The ability to express information in a clear and understandable manner.

  • Demonstrated exceptional time management skills.

  • The ability to service and resolve customer requests with the customer in mind, first and foremost.

  • Ability to take ownership for the quality and timeliness of work and can achieve results with little oversight.

  • Ability to solicit and act on constructive feedback, challenge oneself with tough assignments, and demonstrate resilience and courage in the face of setbacks and oppositions.

Qualifications

Qualifications Required

  • Three years of experience with medical accounts receivable, insurance claims, or equivalency.

  • High School Diploma, or equivalency.

Qualifications (Preferred)

Preferred

  • Health care financial counseling experience.

  • Bilingual language skills may be preferred.

  • Experience with the Medicaid enrollment process.

  • Coding certifications.

  • Knowledge of CPT, ICD10 and DRG codes.

Working Conditions and Physical Demands

Employee must be able to meet the following requirements with or without an accommodation.

  • This is a sedentary position in an office setting that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.

Physical Requirements

Listening, Sitting, Speaking

EEO Statement

The University of Utah Health Care is an Affirmative Action/Equal Opportunity employer. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities. The University of Utah Health Care is committed to diversity in its workforce. Women and minorities are encouraged to apply.

Requisition Number 48203
Reg/Temp Regular
Employment Type Full-Time
Shift Day
Work Schedule Mon - Fri 8-4:30pm
Location Name Huntsman Cancer Hospital
Patient Care? No
City SALT LAKE CITY
State UT
Department COR ISC 10D FINANCIAL ADVOCATE
Category Customer Service

The University of Utah Health Care is an Affirmative Action/Equal Opportunity employer. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities. The University of Utah Health Care is committed to diversity in its workforce. Women and minorities are encouraged to apply.