Financial Counselor | Oncology Support at UPMC

Pittsburgh, Pennsylvania, United States -

Full Time

Start Date

Immediate

Expiry Date

26 Jun, 26

Salary

0.0

Posted On

28 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Prior Authorization, Insurance Verification, Financial Assessment, Billing Resolution, Teamwork, Financial Assistance Determination, Problem Solving, Communication, Patient Confidentiality, HIPAA Regulations, Financial Counseling, Billing Issues Discussion, Word Processing, Computer Experience, EPIC Experience

Industry

Hospitals and Health Care

Description

Join our team of Life Changers! UPMC Hillman Cancer Center is hiring a full-time Financial Counselor to support the Passavant Oncology Support team/office in Pittsburgh. Shift/Schedule: Monday-Friday, 8:00am-4:30pm - No holidays or weekends! Free parking, excellent benefits, a pleasant work environment, and friendly team are just a few of our perks. Apply today! 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 Application for those patients who do not have adequate insurance coverage. Work in collaboration with 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. 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

Responsibilities

Responsibilities include obtaining prior authorizations and verifying insurance benefits before treatments, as well as initiating financial assessment applications for underinsured patients. The role also involves evaluating self-pay patients for financial assistance programs and resolving open insurance claims in collaboration with the billing department.