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   Current UPMC employees must apply in HR Direct

Financial Counselor

Description

UPMC Cancer Center is currently hiring a Full-time Financial Counselor. This position will be located at Butler Health Medical Oncology.

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 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.
  • 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 regards 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.

Licensure, Certifications, and Clearances:
  • Act 34
UPMC is an Equal Opportunity Employer/Disability/Veteran

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No matter where we work or what we do, we’re driven by common values that guide our work and keep us accountable to one another. UPMC’s 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.

   Current UPMC employees must apply in HR Direct

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