UPMC · 21 hours ago
Financial Counselor
Monroeville, PA
Full-time
Hybrid
Mid Level
3+ years expUPMC is seeking a Financial Counselor to join their Medical Oncology team in Monroeville, PA. The role involves ensuring patients receive necessary financial assistance and verifying insurance benefits, contributing to a seamless patient experience through collaboration with various departments.
BiotechnologyHealth CareHospitalMedical
Responsibilities
Obtain initial and subsequent prior authorization/referrals as required by specific payers
Secure verification of insurance benefits prior to office visits and required treatments
Initiate Financial Assessment Application for those patients who do not have adequate insurance coverage
Work in collaboration with billing department to resolve open insurance claims as presented by walk-in patients
Assists with other office functions as required
Ability to work in a team environment
Evaluate all self pay patients, as well as those patients who are being prescribed drugs that are not reimbursable, to determine eligibility for financial assistance through drug reimbursement programs, off label drug policy, medical assistance and/or all other applicable programs as made available
Demonstrate the ability to solve problems through effective communication
Demonstrate an understanding of patient confidentiality with regards to HIPAA Regulations in order to protect both the patient and the UPMC Cancer Centers
Complete the financial counseling process for all patients prior to treatment, including evaluation of patient financial obligations
Meet with patients and designated family members to discuss billing issues
Utilize the Summary of Patient Reimbursement and Liability Form and obtain appropriate approvals, as required, prior to services being rendered
Qualification
Required
Completion of High school diploma or GED
3 years work experience, preferably in a medical office setting
Word processing and computer experience required preferably including EPIC experience
Demonstrate the ability to solve problems through effective communication
Demonstrate an understanding of patient confidentiality with regards to HIPAA Regulations in order to protect both the patient and the UPMC Cancer Centers
Ability to work in a team environment
Obtain initial and subsequent prior authorization/referrals as required by specific payers
Secure verification of insurance benefits prior to office visits and required treatments
Initiate Financial Assessment Application for those patients who do not have adequate insurance coverage
Work in collaboration with billing department to resolve open insurance claims as presented by walk-in patients
Assists with other office functions as required
Evaluate all self pay patients, as well as those patients who are being prescribed drugs that are not reimbursable, to determine eligibility for financial assistance through drug reimbursement programs, off label drug policy, medical assistance and/or all other applicable programs as made available
Complete the financial counseling process for all patients prior to treatment, including evaluation of patient financial obligations
Meet with patients and designated family members to discuss billing issues
Utilize the Summary of Patient Reimbursement and Liability Form and obtain appropriate approvals, as required, prior to services being rendered
Preferred
Prefer knowledge of medical terminology; third party payer rules and regulations; and credit and collections laws
Benefits
Work-Life Balance: This full-time position offers regular hours—Monday through Friday, 8:00 am to 4:30 pm. No evenings, holidays, or weekends!
Work from home flexibility will be available once training is completed.
Company
UPMC
UPMC is one of the leading nonprofit health systems in the United States. A $10 billion integrated global health enterprise headquartered
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$0.46MKey Investors
Appalachian Regional Commission
2024-09-18Grant· $0.46M
Leadership Team
Leslie Davis
Chief Executive Officer
Frederick M. Hargett
Chief Financial Officer
Recent News
Business Feed
2025-11-28
Business Wire
2025-11-24
2025-11-11
Company data provided by crunchbase