Patient Financial Counselor

OneOncology

1d•Remote

About The Position

OneOncology is seeking a Patient Financial Counselor to provide financial counseling to patients, including explaining benefits and out-of-pocket responsibilities, arranging payments, and helping patients access financial assistance. The role requires compassionate, effective customer service to help patients understand their financial liabilities and available payment options. The position works under the direct supervision of the Patient A/R Manager and communicates with front-office, clinical, and patient-accounting staff to support scheduling, treatment, and counseling needs.

Requirements

High school diploma or equivalent required.
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.
Attendance is an essential job function.

Nice To Haves

Bachelor’s degree preferred.
Experience in an oncology healthcare setting preferred.
Radiation Oncology or Proton experience is a plus.

Responsibilities

Educate patients about insurance coverage and benefits, including deductibles, copays, coinsurance, and estimated out-of-pocket costs.
Determine patients’ financial ability to pay.
Counsel uninsured and underinsured patients by phone or in person about payment arrangements and financial assistance.
Determine eligibility for financial assistance applications using current Federal Poverty Levels and established policies.
Collect information and signatures for financial assistance applications and route applications to appropriate teams promptly.
Set up, maintain, and edit established payment arrangements on patient accounts.
Refer patients to outside social services organizations when appropriate.
Document account activity in Patient Management and Electronic Medical Record systems.
Answer patient questions about accounts, insurance coverage, and assistance needs using appropriate etiquette.
Respond promptly to patient calls and requests and return 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 about scheduling, treatment, and financial counseling needs.
Follow management’s policies and procedures to ensure standardized work.