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Jefferson Health · 4 days ago

Financial Counselor

Philadelphia, PA

Full-time

Onsite

New Grad, Entry Level

Jefferson Health is a nationally ranked not-for-profit health care system dedicated to providing high-quality clinical care. The Financial Counselor, Oncology, is responsible for assisting patients with insurance benefits and financial plans while supporting their access to oncology services and patient assistance programs.

Hospital & Health Care

Responsibilities

Meeting with patients and communicating insurance benefits and out-of-pocket responsibilities to develop appropriate financial plans

Providing direct support for patients receiving outpatient oncology and infusion services

Assisting in completing all patient assistance and drug copay programs, including copay foundation applications, to secure external eligibility and internal financial support

Facilitating and submitting Medical Assistance applications (including Adult Category, Healthy Horizons, BCCPT, Emergency Medical Assistance, and MAWD) to help ensure uninterrupted access to treatment

Demonstrating strong knowledge of healthcare insurance, particularly Medicare and Medicaid, and understanding hospital and physician claims, insurance payments, and patient financial responsibility

Managing all aspects of Oncology Patient Assistance Programs, including enrollment, submitting claims after insurance payments, and staying current with program and insurance policy changes

Communicating effectively with the Medical Oncology team and leadership to resolve issues related to verification, registration, and benefit coordination, ensuring timely solutions

Maintaining strong technical skills, particularly in Microsoft Excel, and can navigate multiple systems to track and manage patient financial assistance efficiently

Ensuring compliance with payer requirements, HIPAA regulations, and internal protocols while consistently demonstrating professionalism and the hospital's core values in all interactions

Qualification

Healthcare insurance knowledgeOncology Patient Assistance ProgramsMicrosoft ExcelFinancial assistance programsElectronic medical records (EMR)Communication skillsOrganizational skillsProblem-solving ability

Required

High School diploma or GED required

Demonstrates strong knowledge of healthcare insurance, particularly Medicare and Medicaid, and understands hospital and physician claims, insurance payments, and patient financial responsibility

Manages all aspects of Oncology Patient Assistance Programs, including enrollment, submitting claims after insurance payments, and staying current with program and insurance policy changes

Communicate effectively with the Medical Oncology team and leadership to resolve issues related to verification, registration, and benefit coordination, ensuring timely solutions

Maintains strong technical skills, particularly in Microsoft Excel, and can navigate multiple systems to track and manage patient financial assistance efficiently

Ensure compliance with payer requirements, HIPAA regulations, and internal protocols while consistently demonstrating professionalism and the hospital's core values in all interactions

Thorough understanding of healthcare insurance plans, including Medicare, Medicaid, and commercial payers, with the ability to interpret benefit structures and patient responsibilities

Proficiency in Oncology Patient Assistance Programs, including enrollment processes, copay card applications, foundation support, and manufacturer-sponsored programs

Knowledge of state and federal financial assistance programs, including Medical Assistance categories (Adult, Healthy Horizons, BCCPT, Emergency MA, MAWD), with the ability to complete and submit applications accurately

Ability to analyze hospital and physician claims to determine patient responsibility and assist with post-insurance financial support through available programs

Strong computer skills, including Microsoft Excel, electronic medical records (EMR), and payer portals; comfortable navigating multiple systems simultaneously

Exceptional communication and interpersonal skills, with the ability to clearly explain complex financial and insurance information to patients and collaborate with clinical and administrative teams

Highly organized and detail-oriented, with the ability to prioritize multiple tasks in a high-volume, time-sensitive environment

Professional, patient-centered approach, maintaining empathy and discretion when handling sensitive patient financial concerns

Adaptability and problem-solving ability, particularly in navigating evolving payer policies and financial assistance guidelines

Commitment to organizational values, maintaining respectful and effective interactions with patients, families, co-workers, and external partners

Preferred

Associates degree in Business/Healthcare preferred. Work experience may be considered in lieu of the Associates degree

Benefits

Medical (including prescription)

Supplemental insurance

Dental

Vision

Life and AD&D insurance

Short- and long-term disability

Flexible spending accounts

Retirement plans

Tuition assistance

Voluntary benefits

Company

Jefferson Health

Thomas Jefferson University and Thomas Jefferson University Hospitals are partners in providing excellent clinical and compassionate care for our patients in the Philadelphia region, educating the health professionals of tomorrow in a variety of disciplines and discovering new knowledge that will define the future of clinical care.

Founded in 1995