At UPMC, we are committed to keeping our communities safe and healthy as the COVID-19 pandemic unfolds.

Our recruiters will continue to fill positions throughout this time, but interviews and other processes may be modified to protect the safety of our candidates and employees. Thank you for your patience.

For more information about UPMC's response to COVID-19, please visit upmc.com/coronavirus.

Search Our Jobs

   Current UPMC employees must apply in HR Direct

Financial Counselor

Description

UPMC Magee-Womens Hospital is seeking a Full-time Financial Counselor to support the Magee OP Oncology department!

This position will work Monday through Friday, 7:30 a.m. to 4:00 p.m. Hours are subject to change based on business needs.

The Financial Counselor obtains 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 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 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 are required preferably including EPIC experience.

Licensure, Certifications, and Clearances:

  • Act 34

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

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.

   Current UPMC employees must apply in HR Direct