Financial Counselor

at  UPMC

Are you a skilled medical office professional looking to broaden your horizons? We have an exciting opportunity for a Financial Counselor at our Washington radiation oncology office 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.

• 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.