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American Oncology Network · 1 day ago

Financial Counselor

Waycross, GA

Full-time

Onsite

Entry, Mid Level

$17.93/hr - $29.89/hr

2+ years exp

American Oncology Network is a healthcare provider focused on cancer care, and they are seeking a Financial Counselor to support Low Country Cancer Care. The role involves coordinating payments, assisting patients with financial responsibilities, and ensuring insurance benefits are accurately maintained in the system.

Health CareHealth DiagnosticsMedicalOncology

Responsibilities

Monitors and coordinates internally and externally with the insurance company on the pre-certification and prior authorization processes, including peer-2-peer and appeals, seeking support from provider or pharmacy team when applicable

Review assigned patient(s) and/or Physician schedules for upcoming visits and/or treatment to establish patient financial responsibility

Review patients’ treatment plan(s) and identify if insurance benefit coverage is active and patient fiscal responsibility, all unplanned exceptions are to be communicated to provider immediately

Review and identify new treatment orders, generate an estimate of service and review with patient explaining insurance benefits and fiscal responsibility

If applicable, obtain necessary information from patient for assistance income guidelines

Identify and review patient ageing balances and establish proper arrangements with the patient to address outstanding balance(s)

Discuss and explain forms and paperwork needed such as waivers, treatment estimates, payment plans, assistance applications, etc

Communicate openly and routinely throughout the course of the workday with providers, nursing staff, PSS staff, UM team and coworkers through Teams, phone calls, emails and in person to discuss fiscal responsibility and other items as needed

Work closely with outside entities to ensure full collaboration and completion of forms and items needed in a timely and sometimes urgent manner

Assist patient(s) with completing necessary paperwork for assistance and other grant funded programs in order to secure financial aid for treatment and services

Have an understanding of patient assistance programs and grant services processes to ensure adequate application, placement, and coordination with financial aid counseling team

Understand and comply with all Federal and State laws and regulations pertaining to patient care, rights, safety, billing, and collections

Will be expected to work overtime when given sufficient notice of required overtime

Keep work area and records in a neat and orderly manner

Maintain all company equipment in a safe and working order

Adhere to all AON and departmental policies and procedures, including Revenue cycle policies and procedures

Performs other duties and projects as assigned

Qualification

Healthcare customer serviceMedical insurance verificationPre-certificationAuthorizationInsurance knowledgeMedical terminologyCash handlingCommunication skillsAnalysis & Critical ThinkingSelf-ManagementComputer SkillsCustomer Service & Organizational AwarenessInterpersonal Effectiveness

Required

High school Diploma or GED required

A minimum of two-years prior experience in the healthcare field, preferably in a clinical or business office setting required

Prior Healthcare customer service

Prior Medical terminology

Prior Medical insurance verification

Prior Verifying pre-certification and/or prior authorization with medical insurance

Excellent proven verbal and communication skills needed

Proven Insurance knowledge requirements including an understanding of medical terminology, ICD9, ICD10 and CPT codes

Prior Cash handling and monetary collection experience

Ability to calculate and collect patients' responsibility and insurance co-pay/coinsurance

Proficiency in MS Office Word, Excel, Power Point, and Outlook required

Ability to use multiple screens to perform required job functions

Ability to navigate multiple applications and tab in and out of workflow to complete tasks

Preferred

Further education or degree a plus

Second language is an asset but not required

Company

American Oncology Network

American Oncology Network provides support and ancillary services for oncologist and cancer patients. It is a sub-organization of Cancer & Blood Specialists of Arizona.

Founded in 2017

Fort Myers, Florida, USA

1001-5000 employees