Job Description

Job Title: Financial Counselor
Job ID: 89738710
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: UPMC Cancer Centers
Department: OHA Hamot
Location: 201 State St, Erie PA 16550

Description

Purpose:
UPMC CancerCenter is currently looking for a full time Financial Counselor at our Erie location.  Effective January 2019, the Regional Cancer Center oncology and radiology services will be operated by UPMC Hillman Cancer Center.  As a result, the departments will be staffed by UPMC Hillman Cancer Center employees.

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:
  • 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

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

    Salary Range: $13.11 to $19.97 / hour

    Union Position: No

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