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UPMC continues to comply with governmental guidance related to local, state, and federal COVID-19 vaccination for employment. All employees and affiliated staff of UPMC entities are considered essential health care workers and will be accountable to follow the Centers for Medicare & Medicaid Services (CMS) federal vaccine mandate. To be compliant with the federal mandate, employees must complete the approved vaccination dosage regimen currently defined by the federal government. Compliance with the federal mandate is encouraged before hire. Medical and religious exemption requests may be submitted for consideration.

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Financial Counselor

Description

UPMC Hillman Cancer Center is currently hiring a full-time Financial Counselor to provide support to the 2nd floor of the Hillman Cancer Center in Shadyside. This will be a Monday - Friday, daylight position. 

The Financial Counselor will obtain verification of patients' benefits prior to service; as well as appropriate insurer authorizations for all relevant services when applicable. Do you have health insurance experience? Are you looking for a rewarding career in a fast-paced environment? Apply today!

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

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

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