Patient Financial Advocate - Medical Oncology - Per Diem

Guthrie Enterprise • Cortland, NY

4d

About The Position

The Patient Financial Advocate performs clerical duties to help patients access available financial resources. The role handles preauthorization and precertification for ancillary testing and chemotherapy medications, as well as patient correspondence, insurance forms and updates, free-drug and copay-assistance programs, and patients’ financial concerns. The advocate collaborates with the business office, insurance companies, nonprofit organizations, and pharmaceutical companies.

The advocate provides financial assistance, researches available resources for uninsured or underinsured patients, and helps them apply to eligible programs. The role also coordinates specialty-pharmacy patients and required paperwork, helps route prescriptions to pharmacies that reduce patient costs, completes prior authorizations for medications and procedures, and monitors and coordinates appeals for chemotherapy-agent denials. Other duties may be assigned.

Requirements

• At least two years of experience in an office setting.
• Graduate of an associate’s program in medical office assisting or a high school diploma.

Nice To Haves

• Familiarity with ICD-10 coding.
• Insurance knowledge.

Responsibilities

• Provides financial assistance to patients with copay assistance, insurance, or other financial concerns.
• Liaises with insurance companies, the business office, and pharmaceutical companies to provide financial assistance to patients.
• Meets with uninsured or underinsured patients to identify available financial resources.
• Researches available financial assistance and helps patients apply to programs for which they qualify.
• Coordinates specialty-pharmacy patients and completes required paperwork for the initial supply.
• Ensures prescriptions are routed to an appropriate pharmacy that will result in a lower cost to the patient.
• Completes prior authorizations for medications and procedures that require them.
• Monitors insurance denials for chemotherapy agents, coordinates the appeals process, and helps patients find alternative funding when approval for a required medication or test cannot be obtained.
• Performs other duties as assigned.

What This Job Offers

• Education Level: Associate degree