Financial Advocate

Thomas Jefferson University • Philadelphia, PA

1d • Onsite

About The Position

The Financial Advocate, also described in the job details as a Financial Counselor, meets with patients receiving outpatient oncology and infusion services to explain insurance benefits and out-of-pocket responsibilities and develop appropriate financial plans. The role provides direct financial support to patients and helps secure external eligibility and internal financial assistance so they can access treatment without interruption.

The counselor manages patient assistance and drug copay programs, including copay foundation applications, and, when needed, facilitates and submits Medical Assistance applications. The position requires knowledge of healthcare insurance and claims, effective coordination with the Medical Oncology team and leadership, strong computer skills, and careful adherence to payer requirements, HIPAA regulations, and internal protocols. The employee is expected to demonstrate professionalism and the hospital’s core values in interactions with patients, families, colleagues, and external partners.

Requirements

• High school diploma or GED required.
• Thorough understanding of healthcare insurance plans, including Medicare, Medicaid, and commercial payers, and ability to interpret benefit structures and patient responsibilities.
• Knowledge of hospital and physician claims, insurance payments, and patient financial responsibility.
• Proficiency in Oncology Patient Assistance Programs, including enrollment, copay card applications, foundation support, and manufacturer-sponsored programs.
• Knowledge of state and federal financial assistance programs, including Medical Assistance categories Adult, Healthy Horizons, BCCPT, Emergency MA, and MAWD, and ability to complete and submit applications accurately.
• Ability to analyze hospital and physician claims to determine patient responsibility and assist with post-insurance financial support.
• Strong computer skills, including Microsoft Excel, electronic medical records, and payer portals, with ability to navigate multiple systems simultaneously.
• Exceptional communication and interpersonal skills, including the ability to explain complex financial and insurance information to patients and collaborate with clinical and administrative teams.
• Strong organization and attention to detail, with ability to prioritize multiple tasks in a high-volume, time-sensitive environment.
• Professional, patient-centered, empathetic, and discreet approach to sensitive patient financial concerns.
• Adaptability and problem-solving ability when navigating changing payer policies and financial assistance guidelines.
• Commitment to organizational values and respectful, effective interactions with patients, families, coworkers, and external partners.

Nice To Haves

• Associate degree in Business or Healthcare preferred.

Responsibilities

• Meet with patients and communicate insurance benefits and out-of-pocket responsibilities to develop appropriate financial plans.
• Provide direct financial support for patients receiving outpatient oncology and infusion services.
• Complete patient assistance and drug copay program processes, including copay foundation applications, to secure external eligibility and internal financial support.
• Facilitate and submit Medical Assistance applications, including Adult Category, Healthy Horizons, BCCPT, Emergency Medical Assistance, and MAWD, when necessary.
• Manage Oncology Patient Assistance Programs, including enrollment and submitting claims after insurance payments.
• Stay current with patient assistance program and insurance policy changes.
• Communicate with the Medical Oncology team and leadership to resolve verification, registration, and benefit coordination issues in a timely manner.
• Use computer systems to track and manage patient financial assistance.
• Comply with payer requirements, HIPAA regulations, and internal protocols.
• Demonstrate professionalism and organizational values in interactions with patients, families, coworkers, and external partners.

Benefits

• Medical insurance, including prescription coverage
• Supplemental insurance
• Dental insurance
• Vision insurance
• Life and AD&D insurance
• Short- and long-term disability
• Flexible spending accounts
• Retirement plans
• Tuition assistance
• Voluntary benefits with access to group insurance rates and discounts
• Tuition discounts at Thomas Jefferson University after one year of full-time service or two years of part-time service
• Medical insurance, including prescription coverage, is available to all colleagues, including per diem colleagues, adjunct faculty, and Jeff Temps

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED