Job Description

Job Title: Financial Counselor - (TRCC)
Job ID: 180000W2
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: UPMC Cancer Centers
Department: ERIE0 Affiliation
Location: 2500 W 12th St, Erie PA 16505

Description

Effective January 1, 2019, The Regional Cancer Center medical oncology office will be operated by UPMC Hillman Cancer Center. As a result, the office will be staffed by UPMC Hillman Cancer Center employees. 

UPMC Hillman CancerCenter is hiring a Financial Counselor to help support the Hamot Medical Oncology office located in Erie, PA.

This role will Obtain verification of patients' benefits prior to service, as well as appropriate insurer authorizations for all relevant services when applicable.

Responsibilities:

  • Demonstrate an understanding of patient confidentiality with regards to HIPAA Regulations in order to protect both the patient and the UPMC Cancer Centers.
  •  Secure verification of insurance benefits prior to office visits and required treatments.
  •  Obtain initial and subsequent prior authorization/referrals as required by specific payers.
  •  Utilize the Summary of Patient Reimbursement and Liability Form and obtain appropriate approvals, as required, prior to services being rendered.
  •  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.
  •  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.
  •  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.
  •  Assists with other office functions as required.
  •  Ability to work in a team environment.

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.

Salary Range: $12.40 to $18.88

Union Position: No

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