Description
Are you an experienced medical office professional looking for a great work-life balance? UPMC Hillman Cancer Center has an exciting opportunity to join our team of life changers!
UPMC Hillman Cancer Center is internationally recognized for its leadership in the prevention, detection, diagnosis, and treatment of cancer and is the region's only comprehensive cancer center designated by the National Cancer Institute.
As the preeminent institution in western Pennsylvania for the delivery of cancer care, the performance of basic, translational, and clinical research, and the education of the next generation of cancer researchers and physicians, UPMC Hillman Cancer Center is exceptionally well-positioned to contribute to the global effort to reduce the burden of cancer.
UPMC Hillman Cancer Center is seeking a Full-Time Financial Counselor to provide support to our Medical Oncology office located in Monroeville, PA. This position will work Monday-Friday 8:00 am-4:30 pm. Perks of this position include no weekends or holidays, no travel & free parking onsite!
The Financial Counselor will obtain verification of patients' benefits prior to service; as well as appropriate insurer authorizations for all relevant services when applicable.
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 Applications for those patients who do not have adequate insurance coverage.
- Work in collaboration with the 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 regard 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.
Qualifications
- Completion of High school diploma or GED.
- 3 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.
- Experience with insurance authorizations or medical billing is preferred.
Licensure, Certifications, and Clearances:
- Act 34
UPMC is an Equal Opportunity Employer/Disability/Veteran
Individuals hired into this role must comply with UPMC’s COVID vaccination requirements upon beginning employment with UPMC. Refer to the COVID-19 Vaccination Information section at the top of this page to learn more.
Total Rewards
More than just competitive pay and benefits, UPMC’s Total Rewards package cares for you in all areas of life — because we believe that you’re at your best when receiving the support you need: professional, personal, financial, and more.
Our Values
At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.
