At Revere Health, we value the health of our patients above all else. Al 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 as 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. Facilitates work flow, communication, and office procedures. The Lead must be able to work without supervision, excising judgement to assist staff and make decisions for tasks or assignments needing immediate attention. Researches and finds solutions before going to management. 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. 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 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.

Lead Responsibilities:

• Leads finance team by fielding questions and managing day to day issues before they are escalated to supervisor.
• Administer clinic policies and procedures in a consistent and timely manner, acting as the liaison between staff and department manager.
• Demonstrates excellent communication skills both written and verbal.
• Interacts as needed with all department staff and administers information as needed by the management staff.
• Identifies and resolves problems as needed, maintaining professionalism while also managing difficult situations. This may include handling grievances as well as ensuring excellent patient relations.

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