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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in financial approvals, patient counseling, and healthcare coding, with a strong focus on minimizing reimbursement risk and ensuring compliance with insurance requirements. Proficient in analyzing patient financial information and communicating effectively with diverse stakeholders.
Highest-signal resume keywords
Financial Approval ProcessesHealthcare Coding (ICD-10, CPT)Patient CounselingInsurance Authorization ManagementCustomer Service in Healthcare
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Financial AnalysisPatient Liability AssessmentICD-10 CodingCPT CodingAuthorization RequirementsMedical Necessity DocumentationReimbursement Risk ManagementInsurance Eligibility VerificationCost EstimationAccount History Analysis
Soft Skills
Interpersonal SkillsOrganizational SkillsMultitaskingCommunication SkillsTeam Collaboration
Certifications & Qualifications
Certificate in Healthcare Coding
Industry Keywords
HealthcareRevenue CyclePatient CareMedicare ABNPublic RelationsFinancial CounselingHealth Insurance
About the role
Key responsibilities & impact- Obtain accurate financial approvals for patients at Intermountain Health
- Analyze and validate information needed to obtain financial approval for services
- Perform financial reviews and comprehensive analyses of payer-specific benefits and patient liability
- Counsel patients on financial considerations throughout their care experience
- Work with patients, revenue cycle, physicians, nurses, and pharmacists
- Verify prescriber credentialing or active licensure in good standing
- Ensure timely receipt of clinically appropriate documentation and medical necessity
- Confirm Letters of Medical Necessity when appropriate
- Ensure orders include appropriate ICD-10 codes
- Collaborate with clinicians and intake managers to minimize reimbursement risk
- Correct patient records to prevent denials and billing or reimbursement problems
- Obtain insurance eligibility and benefits information and complete authorization requirements
- Maintain authorizations and ongoing eligibility throughout patient treatment
- Estimate service costs using ICD-10 or CPT codes and calculate patient responsibility
- Analyze prior patient/guarantor account history to guide financial conversations
- Educate patients about Medicare ABN, potential non-coverage costs, and consequences of not signing
- Send Medicare ABN to patients when necessary and communicate ABN status to the Infusion Clinic
Requirements
What you’ll need- Experience as a Financial/Eligibility Counselor, health insurance-related experience (billing, authorizations, etc.), or certificate in healthcare coding
- Demonstrated customer service experience in a healthcare, insurance, or financial field
- Demonstrated outstanding public relations and interpersonal skills
- Demonstrated organizational skills and ability to multitask and complete work timely and accurately
- Self-starter and team-oriented; flexibility to adapt to change and ability to work with minimal supervision
- Bachelor's degree in a health care field or business preferred
- Bilingual preferred
- Written and verbal communication skills preferred
Benefits
Comp & perks- Benefits eligible
- Generous benefits package covering programs supporting wellness, security, connection, and engagement
- One day per week working from home after training
- Monday–Friday schedule, 8:30am–5:00pm