Patient Financial Counselor

OneOncology•Nashville, TN

6d•Onsite

About The Position

The Patient Financial Counselor works under the direct supervision of Authorization leadership and provides financial counseling services to patients, including reviewing benefits, explaining out-of-pocket responsibilities, arranging payments, and assisting with financial aid. The counselor interacts compassionately with patients to help them understand their financial liabilities and available payment options. The role also coordinates with front office, clinical, and patient accounting teams to support scheduling, treatment, and counseling needs. Additional responsibilities may be assigned in support of OneOncology’s mission.

Requirements

High school diploma or equivalent.
At least 3 years of experience in financial counseling and/or accounts receivable collections.
Expertise in insurance policies and regulations related to medical billing.
Working knowledge of government and managed-care benefit structures.
Excellent written and verbal communication skills.
Excellent customer service skills.
Ability to meet deadlines.
Knowledge of clinic office procedures, medical practice, and medical terminology.
Ability to interpret, adapt, and apply guidelines, policies, and procedures.
Ability to recognize, evaluate, and solve problems.
Ability to prioritize work and manage time efficiently.
Strong knowledge of Windows-based software applications, such as Word, Excel, and Outlook.
Strong collaboration skills.

Nice To Haves

Bachelor’s degree.
Financial counseling and/or accounts receivable collections experience in an oncology healthcare setting.
Medical Oncology and/or Radiation Oncology experience.

Responsibilities

Educate patients about insurance coverage and benefits, including deductibles, copays, coinsurance, and estimated out-of-pocket costs.
Determine patients’ financial ability to pay.
Collect patient responsibility due before treatments and procedures.
Inform the practice of balances that need to be collected at the time of service.
Provide counseling about payment arrangements and financial assistance to uninsured and underinsured patients by phone or in person.
Make determinations on financial assistance applications using current Federal Poverty Levels and established policies.
Obtain information and signatures for financial assistance applications and route applications to the appropriate teams in a timely manner.
Set up, maintain, and edit payment arrangements on patient accounts.
Refer patients to outside social services organizations as appropriate.
Document account activity in the Electronic Medical Record system and Practice Management System.
Answer patient questions about accounts, insurance coverage, and patient assistance needs with appropriate etiquette.
Answer patient calls and requests promptly and efficiently, and return all messages within 24 hours.
Assist patient balance collectors with inbound call volume.
Maintain patient confidentiality.
Communicate with front office staff, clinical staff, and patient accounting regarding scheduling, treatment, and financial counseling needs.
Follow management’s policies and procedures to ensure standardized functions.
Take on additional responsibilities as assigned to support the organization’s mission.