Financial Counselor - Radiation Oncology

UPMC•Pittsburgh, PA

3d•Onsite

About The Position

Join our team as a Financial Counselor in Radiation Oncology! This position is located at the Hillman Cancer Center at UPMC Shadyside. As a Financial Counselor, you’ll be at the forefront of patient care, ensuring that insurance benefits are verified, authorizations are obtained, and financial assistance is explored. Your expertise will contribute to a seamless patient experience, and your ability to collaborate with various departments will make a significant impact. Your expertise with health insurance, attention to detail, and collaborative approach will help create a smooth, supportive experience for patients from their first call through their visit. If you enjoy variety, teamwork, and making a meaningful impact each day, this role offers the opportunity to truly make a difference. This position serves as the first step in our Financial Career Ladder, with defined pathways for learning, development, and career progression.

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.
Act 34

Nice To Haves

Prefer knowledge of medical terminology, experience with insurance verification, 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.