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Financial Counselor, Hillman Cancer Center
- UPMC (Williamsport, PA)
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Join Our Team at UPMC Hillman Cancer Center - Williamsport (Divine Providence Campus)
We are currently seeking a Financial Counselor to support our mission of providing exceptional patient care.
Position Overview:
As a Financial Counselor, you will play a vital role in ensuring patients understand their insurance benefits and financial responsibilities. Your primary duties will include:
+ Verifying insurance coverage prior to scheduled services.
+ Securing necessary authorizations from insurers for applicable treatments and procedures.
+ Providing guidance and support to patients regarding billing and payment options.
Schedule & Benefits:
+ Full-time, 40 hours/week
+ Day shift only
+ No weekends or holidays requiredKey Responsibilities:
+ Obtain initial and follow-up prior authorizations and referrals as required by insurance providers.
+ Verify insurance benefits prior to office visits and scheduled treatments.
+ Initiate financial assistance applications for patients lacking adequate insurance coverage.
+ Collaborate with the billing department to resolve outstanding insurance claims, including those presented by walk-in patients.
+ Support general office operations as needed.
+ Work effectively within a team-oriented environment.
+ Assess self-pay patients and those prescribed non-reimbursable medications to determine eligibility for financial assistance programs, including drug reimbursement, off-label drug policies, medical assistance, and other applicable resources.
+ Demonstrate strong problem-solving skills through clear and compassionate communication.
+ Maintain strict confidentiality in accordance with HIPAA regulations to protect patient privacy.
+ Complete the financial counseling process prior to treatment, including evaluation of patient financial obligations.
+ Meet with patients and their families to discuss billing concerns and available financial options.
+ Utilize the Summary of Patient Reimbursement and Liability Form and obtain necessary approvals prior to services being rendered.
+ Completion of a high school diploma or GED.
+ Minimum of 3 years of relevant work experience, preferably in a medical office setting.
+ Preferred knowledge of:
+ Medical terminology
+ Third-party payer rules and regulations
+ Credit and collections laws
+ Proficiency in word processing and computer systems; EPIC experience preferred.
UPMC is an Equal Opportunity Employer/Disability/Veteran.
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