Financial Counselor (Sun & Sat 7am-3pm)

NYU Langone Health • New York, NY

1h • $34 - $38 • Onsite

About The Position

NYU Langone Health is seeking a Financial Counselor to support patients receiving treatment at Perlmutter Cancer Center locations. Under minimal supervision, the counselor works independently as a patient advocate, investigating coverage with payers and educating patients and families about treatment benefits and financial responsibilities. The role verifies the accuracy and completeness of patient financial, insurance, and demographic information and helps ensure patients have adequate insurance benefits or funding for treatment.

The counselor reviews appointment schedules and worklists, obtains payer requirements and treatment referrals, authorizations, and pre-certifications for chemotherapy and radiation, and maintains clearances as treatment plans and authorization criteria change. The role researches benefits and patient liabilities, coordinates insurance information, resolves discrepancies, and communicates payer requirements and financial information to patients and practice staff. Counselors also help patients identify financial assistance resources and coordinate with billing specialists, other departments, payers, and external agencies.

Requirements

• High school diploma or equivalent.
• Good interpersonal skills, effective communication skills, and creative problem-solving ability.
• Extensive knowledge of payer and billing requirements and comprehension of criteria for multiple payers.
• Ability to analyze and update accounts using electronic hospital and medical systems according to standards and guidelines.
• Ability to maintain knowledge of ongoing changes in insurance requirements.
• Ability to assist in locating resources or assistance programs for uninsured patients.
• Ability to communicate effectively with all levels of the organization.

Nice To Haves

• 2–4 years of healthcare customer service and health insurance experience.
• Prior EPIC experience.

Responsibilities

• Maintain patient clearance and authorization status against the Treatment DAR, updating pending items and authorizations in advance of treatment as established by management.
• Verify insurance and patient benefits for treatment, obtain referrals and authorizations or pre-certifications, and maintain or renew authorizations as needed.
• Research insurance plans and confirm eligibility, patient liabilities, clauses, riders, secondary coverage, and coordination of benefits.
• Review and interpret pre-authorization requirements, complete payer online operations, and share relevant information with hospital and professional billing specialists to support accurate billing.
• Secure documentation of insurance liability and resolve discrepancies by contacting patients, family members, employers, payers, and external agencies.
• Meet and communicate with patients and family members as a patient advocate, explain next steps, and assist with securing financial coverage.
• Refer patients with non-participating insurance to appropriate in-network providers when out-of-network authorization or agreements are unavailable; screen patients for Medicaid and financial assistance programs when other insurance cannot be secured.
• Assist patients with financial inquiries and direct billing inquiries to the appropriate hospital or professional billing contact when needed.
• Determine insurance liability, coordination of benefits, financial responsibility, and primary or secondary insurance eligibility; analyze and act on third-party coordination-of-benefits discrepancies before billing.
• Handle treatment-related insurance inquiries from patients, physicians, patient advocates, payers, outside agencies, and Perlmutter Cancer Center departments by phone, mail, or in person.
• Communicate financial information and payer requirements to practice staff when patients meet with a counselor, call with inquiries, or appear on the Treatment DAR.
• Monitor and update insurance data, authorizations, re-authorizations, treatment authorization changes, and same-day clearance updates.
• Identify patients with non-participating insurance referred for outpatient treatment after hospital discharge and forward information to management for coordination with Managed Care.
• Collaborate with staff and other departments, share new information, provide constructive feedback, and demonstrate the organization's Service Standards.
• Perform other duties and special projects as assigned or requested.

Benefits

• Comprehensive benefits and wellness package.
• Financial security benefits.
• Generous time-off program.
• Employee resource groups for peer support.
• Holistic employee wellness program covering physical, mental, nutritional, sleep, social, financial, and preventive care.

What This Job Offers

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