Manager, Financial Counseling
Navista · California, United States · 4 days ago
FinanceFull-time
Responsibilities
- Lead a team of financial counselors providing real-time support to patients, physicians, nurses, and care coordinators throughout the oncology care continuum.
- Serve as an escalation point for complex or urgent patient financial issues that could delay or disrupt care.
- Ensure financial counseling services are embedded into clinical workflows to support same-day decisions and treatment starts.
- Promote a patient-centered approach that balances financial clarity, empathy, and access to care.
- Oversee front-end revenue cycle functions, including insurance verification, benefits interpretation, prior authorization support, and patient cost estimation.
- Ensure timely identification and resolution of coverage issues prior to treatment initiation.
- Collaborate with downstream RCM teams (coding, billing, collections, denial management) to ensure continuity and accuracy across the revenue cycle.
- Maintain expertise in oncology-specific reimbursement, benefit designs, and emerging payer policies.
- Ensure compliant and consistent application of financial assistance guidelines and documentation.
- Manage processes for screening and enrolling patients into financial assistance programs, including manufacturer assistance, charity care, grants, and foundation support.
- Monitor KPIs related to access, counseling timeliness, authorization turnaround, point-of-service collections, and financial clearance rates.
Qualifications
- Bachelor’s degree in healthcare administration, business, finance, or a related field (or equivalent experience)
- 5+ years of progressive experience in healthcare revenue cycle or financial counseling, preferably in oncology
- 3+ years of people management or team leadership experience
- Strong knowledge of insurance plans, oncology benefits, prior authorizations, and patient financial responsibility
- Demonstrated ability to work directly with clinical teams in fast-paced care environments
- Experience in a large MSO, multi-site oncology practice, or complex specialty setting
- Familiarity with EHR and RCM systems (e.g., Epic, Aria/Mosaiq, OncoEMR, or similar)
- Deep understanding of oncology drug reimbursement models, including buy-and-bill, specialty pharmacy carve-outs, and alternate funding pathways
- Familiarity with Medicare Part B vs. Part D, commercial payer variations, and site-of-care reimbursement differences
What is expected of you and others at this level
- Manages department operations and supervises professional employees, front line supervisors and/or business support staff.
- Participates in the development of policies and procedures to achieve specific goals.
- Ensures employees operate within guidelines.
- Decisions have a short term impact on work processes, outcomes and customers.
- Interacts with subordinates, peers, customers, and suppliers at various management levels; may interact with senior management.
- Interactions normally involve resolution of issues related to operations and/or projects.
- Gains consensus from various parties involved.
Anticipated salary range
$87,700.00 - $100,240.00
Bonus Eligible: No
Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being. Medical, dental and vision coverage, Paid time off plan, Health savings account (HSA), 401k savings plan, Access to wages before pay day with myFlexPay, Flexible spending accounts (FSAs), Short- and long-term disability coverage, Work-Life resources, Paid parental leave, Healthy lifestyle programs