Financial Counselor, Cancer Center

Trinity Health • Fort Lauderdale, FL

6d

About The Position

The Financial Counselor provides patients with guidance regarding treatment costs, insurance coverage, payment resources, and financial assistance options, and secures and documents payment arrangements. The role submits authorizations for initial and subsequent high-cost infusion and oncology services based on complex treatment plans. It coordinates the pre-authorization process with patients, physicians, insurance companies, and pharmaceutical companies, and validates payable diagnosis codes, medical necessity, and prior therapy requirements according to FDA and NCCN guidelines.

The Financial Counselor assists patients with financing, payment plans, financial assistance, and other financial options available through the organization. Assistance includes grants, co-pay support for high-cost pharmacy and drugs, and free drugs for infusion and specialty care patients.

Requirements

• High school diploma or GED.
• Two to three years of experience working in Patient Access or Patient Accounting for hospital registration and/or hospital reimbursement services.
• Obtain National certification in HFMA CRCR and/or NAHAM CHAA within one year of hire.
• Understanding of basic billing and coding.

Nice To Haves

• Bachelor’s degree, advanced certification, or a combination of advanced training and/or certification, such as Registered Nurse, Licensed Practical Nurse, Certified Pharmacy Technician, Registered Health Information Technician, or medical coding certification through AHIMA or AAPC.
• Epic experience.
• Knowledge of federal or state government agencies and programs, including Medicare, Medicaid, VA, or Charity Care, or experience with patient management and healthcare accounts receivable within the healthcare revenue cycle.

Responsibilities

• Counsel patients about treatment costs, insurance coverage, payment resources, and financial assistance options.
• Secure and document payment arrangements.
• Submit authorizations for initial and subsequent high-cost infusion and oncology services based on complex treatment plans.
• Coordinate pre-authorization with patients, physicians, insurance companies, and pharmaceutical companies.
• Validate payable diagnosis codes, medical necessity, and prior therapy requirements according to FDA and NCCN guidelines.
• Assist patients with financing, payment plans, grants, co-pay assistance, free drugs, and other financial options offered through the organization.

What This Job Offers

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