Job Description

Job Title: Financial Counselor
Job ID: 687984
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: UPMC Cancer Centers
Department: Hillman
Location: 5115 Centre Avenue, Pittsburgh PA 15232

Description

Purpose:

At UPMC CancerCenter, we are committed to giving our patients the knowledge, inspiration, and specialty care that they need.  We believe that no diagnosis should stop our patients from doing the things they love, or from living each day to the fullest.  If you want to be part of a team that is making a difference we currently have an opportunity for a skilled and compassionate individual at our Hillman CancerCenter location.

 

As a Financial Counselor you will be responsible for obtaining verification of patients' benefits prior to service; as well as appropriate insurer authorizations for all relevant services when applicable.

This position is Monday through Friday during daylight hours.  Sound like a fit for you?  Apply today!

Responsibilities:
  • Ability to work in a team environment.
  • Assists with other office functions as required.
  • Complete the financial counseling process for all patients prior to treatment, including evaluation of patient financial obligations.
  • Demonstrate an understanding of patient confidentiality with regards to HIPAA Regulations in order to protect both the patient and the UPMC Cancer Centers.
  • Demonstrate the ability to solve problems through effective communication.
  • 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.
  • Initiate Financial Assessment Application for those patients who do not have adequate insurance coverage.
  • Meet with patients and designated family members to discuss billing issues.
  • Obtain initial and subsequent prior authorization/referrals as required by specific payers.
  • Secure verification of insurance benefits prior to office visits and required treatments.
  • Utilize the Summary of Patient Reimbursement and Liability Form and obtain appropriate approvals, as required, prior to services being rendered.
  • Work in collaboration with billing department to resolve open insurance claims as presented by walk-in patients.

Qualifications

  • Completion of High school diploma or GED 
  • Three years work experience, preferably in a medical office setting 
  • Prefer knowledge of medical terminology, third party payer rules and regulations, and credit and collections laws 
  • Word processing and computer experience required preferably including EPIC experience.

Licensure, Certifications, and Clearances:
  • Act 34 Criminal Clearance

UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $14.53 to $22.86

Union Position: No

At UPMC, our shared goal is to create a cohesive, positive, experience for our employees, patients, health plan members, and community. If you too are driven by these values, you may be a great fit at UPMC!

QUALITY & SAFETY
DIGNITY & RESPECT
CARING & LISTENING
RESPONSIBILITY & INTEGRITY
EXCELLENCE & INNOVATION

UPMC provides a total rewards package that can help you achieve the goals you have for your career and your personal life. Whether you want to learn a new skill through a training course, reach personal health and wellness targets, become more involved in your community, or follow a career path that provides you with the right experience to be successful, UPMC can help you get to where you want to be.



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