Financial Counselor | Oncology

UPMC•Uniontown, PA

About The Position

UPMC Hillman Cancer Center is seeking a full-time Financial Counselor in Medical Oncology in Uniontown, Pennsylvania. This role supports patients throughout the financial counseling process and assists with front office operations, serving as a connection between patients, providers, and the care team. The counselor verifies insurance benefits, obtains authorizations, evaluates financial assistance options, assists with consult intake and phone triage, and helps schedule patient appointments. The position is regular, full-time, and scheduled Monday through Friday, 8:00 a.m. to 4:30 p.m., with no evenings, weekends, or holidays.

Requirements

High school diploma or GED.
Three years of work experience; medical office experience is preferred.
Word-processing and computer experience.
Act 34 clearance.
Ability to work in a team environment.
Ability to communicate effectively to solve problems.
Understanding of patient confidentiality and HIPAA regulations.

Nice To Haves

Knowledge of medical terminology, third-party payer rules and regulations, and credit and collections laws.
Computer experience including EPIC.

Responsibilities

Obtain initial and subsequent prior authorizations and referrals as required by specific payers.
Verify insurance benefits before office visits and required treatments.
Initiate Financial Assessment Applications for patients without adequate insurance coverage.
Collaborate with the billing department to resolve open insurance claims presented by walk-in patients.
Assist with other office functions as required.
Work effectively in a team environment.
Evaluate self-pay patients and patients prescribed non-reimbursable drugs to determine eligibility for financial assistance through drug reimbursement programs, off-label drug policy, medical assistance, and other available programs.
Solve problems through effective communication.
Protect patient confidentiality in accordance with HIPAA regulations.
Complete financial counseling for all patients before treatment, including evaluation of patient financial obligations.
Meet with patients and designated family members to discuss billing issues.
Use the Summary of Patient Reimbursement and Liability Form and obtain required approvals before services are rendered.
Assist with intake of consults, phone triage, and scheduling patient appointments.