Financial Counselor | Oncology

UPMC•New Castle, PA

3d•Hybrid

About The Position

We have an exciting opportunity for a full-time Regional Financial Counselor who will play a crucial role in ensuring patients receive the care they need across multiple locations. This position follows a hybrid work schedule and will be based out of the office location closest to your residence from the sites listed above. After completing approximately three months of training, employees will have the opportunity for some work-from-home flexibility. Occasional travel to other supported locations may be required based on business needs. As a Financial Counselor, you will directly assist cancer patients in navigating financial barriers to treatment, help patients access insurance coverage, copay assistance programs, grants, and charity care resources. You will play a critical role in reducing patient financial stress during a challenging time in their lives and work independently while maintaining support from regional leadership and colleagues.

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.
Experience with authorizations is preferred
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.