Financial Counselor

SUMMARY :

Responsible for initiating and obtaining prior authorization for patients' oncology care with insurance carriers and provides patient financial counseling.

Assists in obtaining foundation and other financial services to patients throughout the cancer center.

ESSENTIAL FUNCTIONS :

Demonstrate and hold self and others accountable to the GBO values of :

Pursue Empathetic, Caring Relationships : We will care about our patients and about each other

Embrace the Difficult : We courageously seek challenges and change

• Take Responsibility : We take ownership for our actions, provide solutions to problems and demand the same for each other
• Be Better : We constantly seek opportunities to learn and improve who we are and what we do
• Work closely with insurance company and case workers to obtain best coverage possible.
• Communicate with patients regarding possible assistance and potential out of pocket costs as a result of treatment.
• Research and collaborate with outside resources and insurance companies for possible financial assistance for patients, according to their needs.
• Work closely with pharmaceutical companies to provide affordable medication needs of patients.
• Review patient charts to gather information regarding upcoming treatment for possible financial needs.
• Review compendiums to ensure treatment is being administered according to the allowed regimens and combinations.
• Conduct Pre-authorizations with insurance companies for a multitude of different services within the cancer center.
• Discuss with patients necessary regulations in regards to Medicare billing and other non-covered procedures.
• Act as a liaison between patient, patient accounts and insurance company to resolve billing issues.
• Refer patients to other agencies for assistance when needed.
• Travel to various locations to provide patient assistance.
• Work with the physicians and nurses as needed.
• Promote and maintain confidentiality.
• Inform supervisor of potential issues with insurance or patient.
• Willingly accepts all other duties as assigned. QUALIFICATIONS AND EXPERIENCE :
• High School Diploma or GED
• Business healthcare degree or 2 years experience working in a medical office or insurance company required.
• Certificate, license, and registration requirements apply to any new hire after 06 / 01 / 2015. Incumbents are held to the standard at time of hire and will be exempt from the above requirement.

KNOWLEDGE, SKILLS AND ABILITIES :

• Ability to maintain effective working relationships with coworkers, patients, medical staff, insurance companies and the public.
• Ability to take charge while remaining approachable, respectful and understanding.
• Ability to communicate clearly and effectively in person, writing or by phone.
• Ability to adapt to change.
• Ability to organize and prioritize tasks.
• Ability to operate computers, telephones, and other office equipment.
• Ability to react calmly and competently in emergency situations.
• Knowledge and understanding of insurance policies and benefits.
• Knowledge of medical terminology.
• Knowledge and understanding of insurance claims processing.
• Strong organizational skills.

PHYSICAL AND ENVIRONMENTAL REQUIREMENTS :

• Occasionally lift up 10 lbs. Rarely push / pull up to 25 pounds.
• Regularly required to stand; sit; climb, balance, stoop, kneel, crouch or crawl; twist; bend; walk; use hand to finger, handle, or feel;

reach with hands, arms

• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and to adjust focus.
• Sit for prolonged periods of time.
• Work is generally performed in an office setting; desk / cubicle with chair, computer and phone
• The noise level in the work environment is usually quiet to moderate
• This job operates in a health care setting where contact with patients who may have a contagious illness could occur.

Job Posted by ApplicantPro