Job Description

Job Title: Financial Counselor
Job ID: 707385
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: UPMC Cancer Centers
Department: MO Drake Road
Location: 101 Drake Road, Pittsburgh PA 15241

Description

Purpose:
UPMC is looking for a Financial Counselor to join their CancerCenter team at the Upper St. Clair location.  This fulfilling role is under the general direction of the Manager/POS Coordinator of Patient Access.  The Counselor assist patients with financial arrangements, billing questions and payment problems in accordance with the revenue cycle guidelines.

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

Responsibilities:
  • Assist with inquiries from walk-in patients regarding billing problems in conjunction with the Patient Business Services Department.
  • Assists with other office functions as required.
  • Counsel patients and family on insurance matters, outside resources and patient's financial liability.
  • Determine an estimated liability based on expected charges and potential coverage for all urgent/unscheduled patients, when time allows.
  • Direction and guidance should be sought from the Team Lead or Department Manager as necessary.
  • Follow up with patients when applicable.
  • Identify alternate payment or provider options based on departmental policy and procedure, and patient willingness to pay.
  • Identify/counsel potential and repeat/recurring bad debt patients to prevent the rendering of non-urgent services.
  • Initiate/complete requests for Charity Applications.
  • Monitor in-house patients for the expiration of third party benefits.
  • Monitor long stay cases to ensure appropriateness of prior payment arrangements made for patient balances, renegotiates terms as needed.
  • Negotiate payment of liability for elective/scheduled services, collecting the same upon admission/registration if possible.
  • Respect patient confidentiality and withholds restrictive information according to Health Insurance Portability and Accountability Act guidelines.
  • Support and contribute to UPMC service excellence mission and abides by all UPMC departmental policies, procedures and goals in the process of performing all job responsibilities.
  • The incumbent must utilize good judgment and a team spirit in carrying out job functions.
  • Verify insurance and other benefits with patient's employer, insurance company, or other agency for all admissions and specific outpatient services for all urgent/unscheduled patients.
  • Work activities are performed independently, utilizing basic guidelines as standards of performance.

Qualifications

  • Completion of High School graduation or equivalent. 
  • Two years experience in a medical/billing/fiscal or customer service function in a Healthcare setting working with various aspects of the Revenue Cycle. 
  • Medical terminology, third party health care coverage experience and strong understanding of managed care regulations is required. 
  • Experience with a personal computer based applications and other various office equipment with proficient typing skills with a minimum of 30 words per minute. 
  • Excellent interpersonal, written and verbal communication skills are required. 
  • Initiative to work productively with minimum supervision. 
  • Able to work under pressure.

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

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

Salary Range: $13.32 to $20.31

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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