Financial Counselor - Oncology

Henry Ford Health • Detroit, MI

21d

About The Position

Financial Counselors help oncology patients navigate the financial aspects of healthcare and understand the costs associated with their treatment plans. The role aims to reduce patients’ stress about financial responsibility while supporting the organization’s financial health through front-end insurance and revenue-cycle processes.

Under minimal supervision, the Financial Counselor reviews patients’ financial circumstances, counsels them about out-of-pocket treatment costs, advises on insurance optimization, and connects them with available financial assistance programs. The counselor conducts medical necessity reviews before treatment and works with the central authorization team to coordinate medical necessity and authorization processes. For off-label use, the counselor serves as the point person for appeals and works toward a solution with the clinical team and payer. The role also serves as a financial resource for the clinical team and requires critical thinking and problem-solving in complex situations.

Requirements

• Bachelor’s degree or at least five years of experience in a related field.
• Experience in healthcare billing or a related field.
• In-depth knowledge of health insurance.
• Customer-service orientation and ability to handle sensitive information and issues confidentially, respectfully, assertively, and empathetically in difficult interpersonal situations.
• Ability to establish positive rapport with patients, families, and public and private financial assistance programs.
• Ability to quickly assess and respond appropriately to emergency situations.
• Ability to comprehend medical terminology.
• Analytical skills to resolve complex problems using scientific, mathematical, or technical principles, with in-depth multitasking experience.
• Ability to deliver consistent results and continually improve processes for patients and the hospital system.
• Ability to visually proofread typed work for errors.
• Ability to communicate by telephone with patients, families, insurance companies, and other departments.

Nice To Haves

• Pharmacy technician experience.
• Proficiency in EPIC applications, including Appointment Scheduling (all versions), Registrations, and Work Queues.
• Experience with EPIC Referrals.

Responsibilities

• Review patients’ financial circumstances.
• Counsel patients on out-of-pocket costs for their treatment plans.
• Advise patients on insurance optimization options.
• Connect patients with available financial assistance programs.
• Perform medical necessity reviews before treatment.
• Coordinate medical necessity and authorization processes with the central authorization team.
• Manage the appeal process for off-label usages and work toward a solution with the clinical team and payer.
• Serve as the point person for the clinical team on financial implications of patient care.

What This Job Offers

• Job Type: Full-time