Financial Counselor | Radiation Oncology

UPMC•Washington, PA

12d

About The Position

The Financial Counselor supports patients at a radiation oncology office in Washington by helping them navigate the financial aspects of care. The role verifies insurance benefits, obtains required authorizations and referrals, evaluates patient financial obligations, and identifies financial assistance options. The counselor works with patients, designated family members, clinical and administrative teams, and the billing department to support a smooth care experience and resolve billing and insurance issues. The position follows a Monday–Friday schedule with no evenings, weekends, or holidays.

Requirements

High school diploma or GED.
Three years of work experience, preferably in a medical office setting.
Word-processing and computer experience.
Act 34 clearance.

Nice To Haves

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

Responsibilities

Obtain initial and subsequent prior authorizations and referrals as required by specific payers.
Verify insurance benefits before office visits and required treatments.
Initiate a Financial Assessment Application for patients without adequate insurance coverage.
Collaborate with the billing department to resolve open insurance claims presented by walk-in patients.
Evaluate self-pay patients and patients prescribed non-reimbursable drugs for eligibility for financial assistance, including drug reimbursement programs, off-label drug policy, medical assistance, and other applicable programs.
Complete the financial counseling process 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 other office functions as required.
Work effectively in a team environment and solve problems through effective communication.
Protect patient confidentiality and comply with HIPAA regulations.