Financial Counselor | Oncology

UPMC•Moon Township, PA

4d•Onsite

About The Position

UPMC Hillman Cancer Center is hiring a full-time Financial Counselor for its medical oncology network. The position is based in the Moon Township office and supports locations in Butler, Beaver, Cranberry, McCandless, Pittsburgh (St. Margaret), and Natrona Heights. Occasional travel to these locations may be required based on operational needs. The Financial Counselor helps patients navigate insurance benefits, prior authorizations, financial assistance, and financial obligations before treatment. The role also supports front-office operations, including consult intake, phone triage, and appointment scheduling, and serves as a link among patients, providers, and the care team. This is a regular, full-time position of 40 hours per week, Monday through Friday, 8:00 a.m. to 4:30 p.m. No evenings, weekends, or holidays are required.

Requirements

High school diploma or GED.
Three years of work experience; medical office experience is preferred.
Word-processing and computer experience.
Act 34 clearance.

Nice To Haves

Experience in a medical office setting.
Knowledge of medical terminology, third-party payer rules and regulations, and credit and collections laws.
EPIC 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 Financial Assessment Applications for patients without adequate insurance coverage.
Collaborate with the billing department to resolve open insurance claims raised by walk-in patients.
Assist with other office functions as needed.
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 applicable programs.
Solve problems through effective communication.
Protect patient confidentiality and UPMC Cancer Centers by following HIPAA regulations.
Complete financial counseling for all patients before treatment, including evaluating 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 provided.
Support consult intake, phone triage, and patient appointment scheduling.