Financial Advocate

Pay range: $22.30 - $30.11 hourly, varies on experience. Medical Oncology - Remote/Hybrid Bend, Oregon. Relief Differential: 15% ST.

Cancer Center Financial Advocate

Operations Manager

Cancer Center

Schedule Weekly

Hours:

0 Caregiver Type:
Relief Shift: First Shift (United States of America). Is Exempt Position? No Job Family: INSURANCE COLLECTOR. Scheduled Days of the Week:
Monday-Friday Shift Start & End Time: 0800-4:30.

• Verifies patient insurance eligibility and coverage.
• Determines co-pay, deductible, co-insurance, and maximum out-of-pocket amounts in accordance with St. Charles Health System credit and collection guidelines.
• Maintains advanced working knowledge of Medicare, Medicaid, Commercial, Managed Care, and HMO plans.
• Stays current on payer policies, authorization requirements, and regulatory changes.
• Provides accurate, timely cost estimates for Cancer Center services using available estimation tools and payer-specific benefits.
• Obtains and coordinates prior authorizations and referrals for all services ordered by Cancer Center providers, ensuring compliance and minimizing delays in care.
• Track authorization expirations, regimen changes, surgical scheduling timelines, and progression to prevent treatment delays.
• Identify and resolve insurance barriers that impact reimbursement eligibility for infusion, radiation, and surgical oncology services.
• Coordinate peer-to-peer review support with providers when required.
• Maintains awareness and application of CPT and ICD-10 coding relevant to oncology services to support authorization and billing processes.
• Interpret NCCN-guided treatment pathways and payer oncology policies to ensure alignment with medical necessity requirements.
• Identifies and assists eligible patients with internal and external financial assistance programs, including but not limited to:
  Free drug and replacement drug programs and Manufacturer assistance programs.
• Collaborates with pharmacy and clinical staff to receive, document, log, and maintain inventory of medications obtained through assistance programs in accordance with compliance standards.
• Refers patients to St. Charles Health System Financial Assistance Program and ensures timely distribution and completion of applications.
• Assists with review, tracking, follow-up, and resolution of denied claims related to authorization or coverage issues.
• Demonstrates strong analytical and problem-solving skills, including accurate calculation of financial responsibility.
• Supports the organization’s vision, mission, and values in all activities.
• Actively participates in Lean initiatives and continuous improvement efforts.
• Maintains a safe environment for patients, caregivers, and visitors.
• Conducts all activities with the highest standards of professionalism and confidentiality.
• Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
• Delivers excellent customer service with professionalism, compassion, accuracy, and timeliness.
• May perform additional duties of similar complexity within the organization, as required or assigned.

• Required:
  
  High school diploma or GED.
• Preferred:
  Two years of college or technical degree.

• Required:
  
  N/A
• Preferred:
  Certified Healthcare Financial Professional (CHFP) or similar certification. Oncology or revenue cycle-related certifications.

• Required:
  
  Minimum one (1) year of experience in healthcare, hospital, clinic or medical…