Role Description
The Patient Financial Counselor works under the direct supervision of the Patient A/R Manager and provides financial counseling services including patient benefits, out of pocket responsibility, payment arrangements and financial assistance. Excellent customer skills required to interact with patients in a compassionate manner to ensure they understand their financial liabilities and available payment.
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Educate patients about their insurance coverage and benefits, including deductible, copay, coinsurance and estimated out of pocket costs.
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Determine patient financial ability to pay.
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Provide financial counseling services regarding payment arrangements and financial assistance for uninsured and underinsured patients by phone or in person.
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Make determinations on financial assistance applications based on current Federal Poverty Levels and established policies.
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Obtain information and signatures on financial assistance program applications and route to appropriate teams in a timely manner for optimal financial turn-around.
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Set up, maintain and edit payment arrangements on account when established.
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Refer patients as appropriate to outside social services organizations.
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Properly documents all account activity in Patient Management and Electronic Medical Record systems.
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Assist patients with questions regarding their accounts, insurance coverage and/or patient assistance needs in a skillful manner using appropriate etiquette.
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Answer patient calls and requests promptly and efficiently. Return all messages within 24 hours.
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Assist patient balance collectors with inbound call volume.
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Maintain patient confidentiality at all times.
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Communicates with front office staff, clinical staff, and patient accounting regarding scheduling, patient treatment and financial counseling needs.
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Follows Policy & Procedure parameters as outlined by management to ensure standardization of function.
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Additional responsibilities may be assigned to help drive our mission of improving the lives of everyone living with cancer.
Qualifications
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High school diploma or equivalent required.
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Bachelorβs degree preferred.
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Minimum of 3 years of experience working with financial counseling and/or AR collections, preferably in an Oncology healthcare setting.
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Radiation Oncology/Proton experience a plus.
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Expertise in insurance policies and regulations related to medical billing.
Company Description