Are you a skilled medical office professional looking to broaden your horizons? We have an exciting opportunity for a Financial Counselor who will not only work in the front office but also play a crucial role in ensuring patients receive the care they need. If you're passionate about healthcare, finance, and teamwork, read on!

As a Financial Counselor, you'll be at the forefront of patient care, ensuring that insurance benefits are verified, authorizations are obtained, and financial assistance is explored. Your expertise will contribute to a seamless patient experience, and your ability to collaborate with various departments will make a significant impact.

Why Join Our Team?

• Teamwork: At our medical oncology office in Johnstown, teamwork is at the heart of what we do. Collaborating with colleagues and providers is essential for success.
• Work-Life Balance: This full-time position offers regular hours-Monday through Friday, 8:00 am to 4:30 pm. No evenings, holidays, or weekends!
• Impact: Your work directly impacts patients' lives. You'll be part of a compassionate team dedicated to making a difference.

Ready for the challenge? Apply online today and be part of our mission to provide exceptional care at Hillman Cancer Center!

Responsibilities:

• Obtain initial and subsequent prior authorization/referrals as required by specific payers.
• Secure verification of insurance benefits prior to office visits and required treatments.
• Initiate Financial Assessment Applications for those patients who do not have adequate insurance coverage.
• Work in collaboration with the billing department to resolve open insurance claims as presented by walk-in patients.
• Assists with other office functions as required.
• Ability to work in a team environment.
• Evaluate all self-pay patients, as well as those patients who are being prescribed drugs that are not reimbursable, to determine eligibility for financial assistance through drug reimbursement programs, off-label drug policy, medical assistance and/or all other applicable programs as made available.
• Demonstrate the ability to solve problems through effective communication.
• Demonstrate an understanding of patient confidentiality with regards to HIPAA Regulations in order to protect both the patient and the UPMC Cancer Centers.
• Complete the financial counseling process for all patients prior to treatment, including evaluation of patient financial obligations.
• Meet with patients and designated family members to discuss billing issues.
• Utilize the Summary of Patient Reimbursement and Liability Form and obtain appropriate approvals, as required, prior to services being rendered.

Qualifications:

• Completion of High school diploma or GED
• 3 years work experience, preferably in a medical office setting
• Prefer knowledge of medical terminology; third party payer rules and regulations; and credit and collections laws
• Word processing and computer experience required preferably including EPIC experience.

Licensure, Certifications, and Clearances:

• Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran

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