Financial Counselor

54050E

Responsibilities

54050E

The Financial Counselor is responsible for m eeting with patients and communicating insurance benefits and responsibilities to develop appropriate plans to assist the patient. The Financial Counselor assists in completing all patient assistance programs, drug copay programs, drug copay foundation applications required to receive external eligibility and internal financial assistance as well as if needed submitting Medical Assistance applications (Adult Category, Healthy Horizon, BCCPT, Emergency Medical Assistance, MAWD).

Essential Functions

• Working knowledge of healthcare insurance, particularly Medicare and Medicaid.
• Working knowledge of Oncology Patient Assistance Programs.
• Stays abreast of changes in major insurance plans and Oncology Patient Assistance Programs.
• Enrollment of different Patient Assistance Programs.
• Understanding of hospital and physician claims and payments to identify patient responsibility.
• Submitting claims to Patient Assistance Programs after insurance payments
• Strong Microsoft Office Excel skills.
• Able to prioritize and execute tasks in a high-pressure environment.
• Highly self-motivated, self-directed, and attentive to detail.
• Strong written, oral, and interpersonal communication skills.
• Communicates with the Medical Oncology Team and Management on issues (verification, registration, obtaining benefits) and providing solutions to ensure that issues are settled.
• Interacts with co-workers, visitors, and other staff consistent with the core values of the Hospital.

Qualifications

Education

High School diploma or GED required. Associates degree in Business/Healthcare preferred. Work experience may be considered in lieu of the Associates degree.

Experience Requirements

• Previous experience required in one or more of the following roles: Patient Access Representative,
  Financial Counselor, Customer Service Representative, Patient Accounts Billing Representative, Patient Accounts Collections Representative.
• Knowledge of hospital and physician billing and collections.
• Knowledge of State and Federal financial assistance programs.
• Clear, effective communication skills; mature approach to problem solving for all types of issues;
• Skills in using PC computers and computer applications
• Knowledge of medical terminology; negotiating skills; and detail orientation.
• To perform this job successfully, an individual must demonstrate competence in each essential duty.

Closing Statement

About Jefferson

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 42,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University , home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health , nationally ranked as one of the top healthcare systems in the country and the largest provider in the Philadelphia area, serves patients through millions of encounters each year at 17 hospitals and more than 160 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.