Financial Counselor - Oncology Practice

About the role

Aoncology is hiring a Financial Counselor for its Oncology Hematology Associates practice. The role serves as the primary patient advocate for financial navigation and counseling, reviewing insurance coverage, estimating patient financial responsibility and coordinating prior authorizations and benefit verification so patients can access cancer treatment. The position is listed as onsite.

Key responsibilities

• Coordinate with insurance companies on pre-certification and prior authorization, including peer-to-peer reviews and appeals, and keep patients' insurance benefits current in the EMR.
• Review patient schedules and treatment plans, generate service estimates and explain benefits and out-of-pocket costs to patients.
• Explain forms such as waivers, treatment estimates, payment plans and assistance applications, and help patients complete paperwork for grant-funded programs.
• Monitor aging balances and outstanding balances, and work with outside entities to complete assistance applications in a timely way.
• Collect patient financial responsibility compassionately and professionally, and monitor collections.
• Comply with federal and state laws on patient care, rights, safety, billing and collections, and protect patient and employee information under HIPAA.

Required profile

• High school diploma or equivalent; Associate's degree or higher in Healthcare Administration, Business or a related field preferred.
• At least two years of healthcare experience, preferably in financial counseling, patient access or medical billing.
• Demonstrated knowledge of pre-certification and prior authorization, and experience with patient assistance programs preferred.
• Ability to calculate and collect patient responsibility, co-pays and coinsurance.
• Knowledge of medical terminology, ICD-9, ICD-10 and CPT codes.
• Excellent verbal and communication skills, with empathy and cultural sensitivity.

Required skills

• Familiarity with patient assistance programs, grant-funded resources and pharmaceutical assistance programs.
• Proficiency in EMR systems, practice management software and insurance verification tools.
• Advanced proficiency in Microsoft Office (Word, Excel, Outlook).