Financial Counselor - Contract/Consulting opportunity

Key Responsibilities

• Audit patient-specific financial barriers related to medications, medical supplies, and treatment plans.
• Provide guidance on co-pays, deductibles, and other out-of-pocket expenses.
• Support patients in understanding their financial responsibilities and available options.
• Review and verify insurance benefits related to prescribed therapies and services.
• Identify and address coverage limitations, formulary restrictions, and prior authorization requirements.
• Collaborate with payers, pharmacies, and providers to resolve access issues impacting patient care.
• Identify appropriate financial assistance resources, including manufacturer programs, grants, and other support mechanisms.
• Facilitate patient enrollment into assistance programs and monitor progress through completion.
• Maintain awareness of available financial resources and eligibility criteria.
• Document all patient interactions, interventions, and outcomes in the designated system(s).
• Track financial interventions and resolution outcomes to support operational visibility.
• Identify recurring barriers and contribute to process improvement initiatives.

Requirements

• Understanding of financial assistance relating to drug (pharmacy/medical channels) and how to problem solve for financial assistance via multiple channels is required.
• Experience in healthcare financial counseling, patient access, case management, or a related field.
• Knowledge of insurance benefits, reimbursement processes, and medication access pathways.
• Familiarity with financial assistance programs and patient support resources.
• Strong communication and problem-solving skills.
• Ability to work effectively within a multidisciplinary care team.