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UPMC · 1 day ago

Financial Counselor

Erie, PA

Full-time

Hybrid

Mid Level

3+ years exp

UPMC is seeking a Financial Counselor to join their Medical Oncology team in Erie, PA. The role involves ensuring patients receive the necessary care by verifying insurance benefits, obtaining authorizations, and exploring financial assistance options. This position emphasizes teamwork and directly impacts patient experiences.

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

Financial counselingInsurance verificationMedical terminologyEPIC experienceProblem solvingPatient confidentialityTeamworkCommunication

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