Patient Financial Advocate - Medical Oncology - Full Time at Guthrie Careers

City of Binghamton, New York, United States -

Full Time

Start Date

Immediate

Expiry Date

29 Jun, 26

Salary

0.0

Posted On

31 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Financial Assistance, Insurance Knowledge, ICD-10 Coding, Patient Correspondence, Preauthorization, Chemotherapy Medications, Co Pay Assistance, Research, Application Assistance, Coordination, Appeal Process, Pharmaceutical Companies, Non-Profit Organizations, Business Office Collaboration, Office Setting Experience, Clerical Duties

Industry

Hospitals and Health Care

Description

Position Summary: Performs clerical duties to ensure patients have access to the financial resources available to them. Responsible for preauthorization/precertification of ancillary testing and chemotherapy medications. The Patient Financial Advocate is responsible for patient correspondence, insurance forms and updates, free drug and co pay assistance programs available to patients and addressing patients’ financial concerns in collaboration with the business office, insurance companies, non‐profit organizations, and pharmaceutical companies. Education, License & Cert: Graduate of an associate’s program in medical office assisting or high school diploma. Familiarity with ICD‐10 coding and insurance knowledge preferred. Experience: Minimum of two years’ experience in an office setting. Essential Functions: 1. Provides financial assistance to patients with concerns regarding co pay assistance, insurance, or financial concerns. a. Works as liaison with insurance companies, business office, and pharmaceutical companies to provide financial assistance to patients 2. Meets with patients who are uninsured or underinsured to proactively provide financial resources a. Research what, if any, financial assistance is available to those patients b. Helps patients apply to programs they qualify for 3. Coordinates specialty pharmacy patients and fills out required paperwork needed for initial supply a. Ensures prescrition is routed to appropriate pharmacy that will result in lower cost to patient 4. Completes prior authorizations on medication and procedures that require it a. Monitors for insurance denials for chemotherapy agents; coordinates appeal process for same and assists patients to find alternate funding if unable to attain approval for a required medication or test. Other Duties: Other duties as assigned. Rev. 8.28.25 Joining the Guthrie team allows you to become a part of a tradition of excellence in health care. In all areas and at all levels of Guthrie, you’ll find staff members who have committed themselves to serving the community. The Guthrie Clinic is an Equal Opportunity Employer. The Guthrie Clinic is a non-profit, integrated, practicing physician-led organization in the Twin Tiers of New York and Pennsylvania. Our multi-specialty group practice of more than 500 physicians and 302 advanced practice providers offers 47 specialties through a regional office network providing primary and specialty care in 22 communities. Guthrie Medical Education Programs include General Surgery, Internal Medicine, Emergency Medicine, Family Medicine, Anesthesiology and Orthopedic Surgery Residency, as well as Cardiovascular, Gastroenterology and Pulmonary Critical Care Fellowship programs. Guthrie is also a clinical campus for the Geisinger Commonwealth School of Medicine.

Responsibilities

The Patient Financial Advocate performs clerical duties to ensure patients have access to financial resources and is responsible for preauthorization of ancillary testing and chemotherapy medications. They assist patients with financial concerns and coordinate with various entities to provide necessary support.