Patient Financial Counselor I

The US Oncology Network•Dyer, IN

18d

About The Position

Overview SCOPE: Under general supervision, is responsible for insurance verification and eligibility, assessment of patient financial requirements, counseling patients on insurance benefits and co-payments. Obtains pre-authorization of services. Obtains and maintains accurate patient demographics. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards. ESSENTIAL DUTIES AND RESPONSIBILITIES: -Ensures all insurance, demographic, and eligibility information is obtained and entered into the system in an accurate manner. -Performs insurance verification process on all third party payers. Obtains initial and subsequent pre-authorization for services and surgeries. -Re-verifies benefits and obtains authorization and/or referral after treatment plan has been discussed, prior to initiation of treatment. Ensures appropriate signatures are obtained on all necessary forms. -Utilizes the Summary of Patient Reimbursement and Liability form and obtains appropriate approvals as required. -Performs financial counseling process on all patients prior to treatment, which includes patient financial obligations, billing practices and establishing payment arrangements. -Documents financial counseling process and forwards to Billing Office. -Assists patients in obtaining financial assistance (i.e. Medicaid, drug replacement), outside assistance (i.e. transportation or other community services), and all appropriate forms filled out. -Collects co-pays, deductible and other out of pocket amounts at time of visit. -Assists in maintaining manuals, logs and other required documentation as required. -Demonstrates an understanding for patient confidentiality to protect the patient and the clinic/corporation. -Follows policies and procedures to contribute to the efficiency of the front office. Covers for and assists with other front office functions as requested.

Requirements

High school diploma or equivalent required.
Minimum three years of medical business office experience with insurance procedures and patient interaction.

Responsibilities

Ensures all insurance, demographic, and eligibility information is obtained and entered into the system in an accurate manner.
Performs insurance verification process on all third party payers.
Obtains initial and subsequent pre-authorization for services and surgeries.
Re-verifies benefits and obtains authorization and/or referral after treatment plan has been discussed, prior to initiation of treatment.
Ensures appropriate signatures are obtained on all necessary forms.
Utilizes the Summary of Patient Reimbursement and Liability form and obtains appropriate approvals as required.
Performs financial counseling process on all patients prior to treatment, which includes patient financial obligations, billing practices and establishing payment arrangements.
Documents financial counseling process and forwards to Billing Office.
Assists patients in obtaining financial assistance (i.e. Medicaid, drug replacement), outside assistance (i.e. transportation or other community services), and all appropriate forms filled out.
Collects co-pays, deductible and other out of pocket amounts at time of visit.
Assists in maintaining manuals, logs and other required documentation as required.
Demonstrates an understanding for patient confidentiality to protect the patient and the clinic/corporation.
Follows policies and procedures to contribute to the efficiency of the front office.
Covers for and assists with other front office functions as requested.