Patient Financial Counselor

The US Oncology Network•Winchester, VA

22h•Onsite

About The Position

Help Patients Navigate the Financial Side of Their Care At Shenandoah Oncology, our Patient Financial Counselors play an essential role in supporting patients throughout their cancer journey. We are seeking a compassionate, detail-oriented, and knowledgeable professional to join our team and help patients understand their insurance benefits, financial responsibilities, and available assistance resources. This position is ideal for someone who enjoys helping others, excels at problem-solving, and is committed to providing exceptional customer service in a healthcare setting. The ideal candidate demonstrates strong communication skills, attention to detail, empathy, and professionalism while working closely with patients, providers, insurance companies, and fellow team members. By helping patients navigate the financial aspects of their treatment, you will make a meaningful difference in their overall care experience. Why Shenandoah Oncology? At Shenandoah Oncology, you'll join a mission-driven organization where every team member plays an important role in supporting exceptional patient care. Guided by The RETIC Way—Respect, Excellence, Teamwork, Integrity, and Compassion—we foster a culture where employees are valued, supported, and empowered to grow. Enjoy the best of both worlds: a close-knit, community-based practice culture backed by the resources, stability, and professional growth opportunities of The US Oncology Network. As a Patient Financial Counselor, you'll have the opportunity to positively impact patients' lives by helping reduce financial stress and ensuring they have access to the care they need.

Requirements

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

Nice To Haves

Prior experience in a Patient Financial Counselor role.

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.