Financial Counselor | Oncology

UPMC•Erie, PA

19h•Onsite

About The Position

Join our team as a Financial Counselor in Medical Oncology! We have an exciting opportunity for a Financial Counselor who will play a crucial role in ensuring patients receive the care they need. As a Financial Counselor, you’ll be at the heart of the patient experience. In addition to verifying insurance benefits, securing authorizations, and exploring financial assistance options, this role also supports key front office operations. You’ll assist with the intake of consults, manage phone triage, and help schedule patient appointments, making you a vital link between patients, providers, and the care team. Your expertise, attention to detail, self-motivated approach, and collaborative mindset will help create a smooth, supportive experience for patients from their first call through their visit. Candidates with experience obtaining insurance authorizations, supporting medication and infusion workflows, and a basic understanding of insurance plans are strongly preferred. If you enjoy variety, taking initiative, working as part of a team, and making a meaningful impact each day, this role offers the opportunity to truly make a difference.

Requirements

Completion of High school diploma or GED
3 years work experience, preferably in a medical office setting
Word processing and computer experience required preferably including EPIC experience.
Act 34

Nice To Haves

Prefer knowledge of medical terminology; third party payer rules and regulations; and credit and collections laws

Responsibilities

Obtain initial and subsequent prior authorization/referrals as required by specific payers.
Secure verification of insurance benefits prior to office visits and required treatments.
Initiate Financial Assessment Application for those patients who do not have adequate insurance coverage.
Work in collaboration with billing department to resolve open insurance claims as presented by walk-in patients.
Assists with other office functions as required.
Ability to work in a team environment.
Evaluate all self pay patients, as well as those patients who are being prescribed drugs that are not reimbursable, to determine eligibility for financial assistance through drug reimbursement programs, off label drug policy, medical assistance and/or all other applicable programs as made available.
Demonstrate the ability to solve problems through effective communication.
Demonstrate an understanding of patient confidentiality with regards to HIPAA Regulations in order to protect both the patient and the UPMC Cancer Centers.
Complete the financial counseling process for all patients prior to treatment, including evaluation of patient financial obligations.
Meet with patients and designated family members to discuss billing issues.
Utilize the Summary of Patient Reimbursement and Liability Form and obtain appropriate approvals, as required, prior to services being rendered.