Patient Financial Counselor

Responsibilities

• Educate patients about their insurance coverage and benefits, including deductible, copay, coinsurance and estimated out of pocket costs.
• Determine patient financial ability to pay.
• Provide financial counseling services regarding payment arrangements and financial assistance for uninsured and underinsured patients by phone or in person.
• Make determinations on financial assistance applications based on current Federal Poverty Levels and established policies.
• Obtain information and signatures on financial assistance program applications and route to appropriate teams in a timely manner for optimal financial turn-around.
• Set up, maintain and edit payment arrangements on account when established.
• Refer patients as appropriate to outside social services organizations.
• Properly documents all account activity in Patient Management and Electronic Medical Record systems.
• Aid patients with questions regarding their accounts, insurance coverage and/or patient assistance needs in a skillful manner using appropriate etiquette.
• Answer patient calls and requests promptly and efficiently.
• Return all messages within 24 hours.
• Assist patient balance collectors with Inbound call volume.
• Maintain patient confidentiality at all times.
• Communicate with front office staff, clinical staff, and patient accounting regarding scheduling, patient treatment and financial counseling needs.

Requirements

• High school diploma or equivalent required.
• Bachelor’s degree preferred.
• Minimum of 3 years of experience working with financial counseling and/or AR collections, preferably in an Oncology healthcare setting.
• Radiation Oncology/Proton experience a plus.
• Expertise in insurance policies and regulations related to medical billing.