Coordinator, Financial Counseling

Cardinal Health; Hagåtña (GU); Remote; USD 48.000 - 64.000; Vollzeit

Zusammenfassung

Navista, a Cardinal Health oncology revenue cycle partner, is hiring a Coordinator, Financial Counseling. This role ensures accurate financial clearance, patient education, and risk identification before services.

You will help improve reimbursement outcomes and minimize financial risk while maintaining transparent communication with patients. The position involves collaboration with clinical and administrative teams to support revenue cycle processes and deliver compassionate, compliant patient

Qualifikationen

• Minimum of 4 years of experience in a healthcare business office or revenue cycle role preferred.
• Strong knowledge of insurance and benefits and patient Financial Assistance Programs.
• Strong understanding of oncology treatment pathways.
• Familiarity with high-cost oncology drugs, infusion services and specialty pharmacy billing preferred.
• Working knowledge of diagnosis driven financial impact (metastatic vs early stage treatment cost difference) preferred.

Aufgaben

• Review daily schedules to identify patients requiring financial clearance.
• Educate patients on expected financial responsibility, including deductibles, copayments, coinsurance, and out-of-pocket maximums.
• Provide clear, compassionate communication regarding treatment costs and payment expectations prior to services.
• Assist patients in understanding their financial obligations prior to services.
• Evaluate potential financial risks associated with scheduled services, including coverage limitations and medical necessity concerns.
• Proactively identify accounts that may result in patient balance or denied claims.
• Escalate high-risk accounts to leadership for review.
• Collaborate with clinical and administrative teams to reduce the risk of claim denials.
• Support resolution of pre-service financial issues that may impact reimbursement.
• Maintain accurate documentation of all financial discussions with patients.
• Protect patient confidentiality in accordance with HIPAA standards.
• Work closely with internal teams to support accurate and timely revenue cycle processes.

Kenntnisse

Healthcare finance

Revenue cycle

Patient communication

Analytical thinking

HIPAA compliance

Tools

Billing software

EHR systems

Jobbeschreibung

US-Nationwide-FIELD

Full time

20188756

About Navista

We believe in the power of community oncology to support patients through their cancer journeys. As an oncology practice alliance comprised of more than 40 sites, Navista provides the support community practices need to fuel their growth—while maintaining their independence.

What Revenue Cycle Management (RCM) contributes to Cardinal Health

Practice Operations Management oversees the business and administrative operations of medical practices.

Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient’s account balance is zero.

Position Summary

The Coordinator, Financial Counseling is responsible for supporting patients and providers by ensuring accurate financial clearance, patient education, and identification of financial risk prior to services being rendered.

This role plays a critical part in the Revenue Cycle by improving reimbursement outcomes, minimizing financial risk, and enhancing the patient experience through proactive and transparent financial communication.

Responsibilities

Financial Counseling & Patient Support

• Review daily schedules to identify patients requiring financial clearance.
• Educate patients on expected financial responsibility, including:
• Deductibles
• Copayments
• Coinsurance
• Out-of-pocket maximums
• Provide clear, compassionate communication regarding treatment costs and payment expectations prior to TOS.
• Assist patients in understanding their financial obligations prior to services.

Financial Risk Identification

• Evaluate potential financial risks associated with scheduled services, including:
• Coverage limitations
• Medical necessity concerns
• Frequency limitations
• Out of Network Benefits and coverages
• Proactively identify accounts that may result in patient balance or denied claims.
• Escalate high-risk accounts to leadership or appropriate teams for review.

Denials Prevention & Support

• Collaborate with clinical and administrative teams to reduce the risk of claim denials.
• Support resolution of pre-service financial issues that may impact reimbursement.
• Assist in identifying trends related to financial risk and patient responsibility.

Documentation & Compliance

• Maintain accurate documentation of all financial discussions with patients.
• Ensure all notes are clear, complete, and compliant with organizational standards.
• Protect patient confidentiality in accordance with HIPAA standards.

Collaboration & Communication

• Work closely with clinical and administrative teams to ensure alignment on patient financial readiness.
• Communicate effectively with internal teams to support accurate and timely revenue cycle processes.
• Provide exceptional customer service with empathy, professionalism, and respect.

Operational Excellence

• Manage multiple tasks efficiently in a fast-paced environment.
• Demonstrate strong attention to detail and problem-solving skills.
• Maintain consistent attendance, punctuality, and teamwork.
• Support additional duties and projects as they are assigned.

Qualifications

• Minimum of 4 years of experience in a healthcare business office or revenue cycle role preferred
• Strong knowledge of insurance and benefits and patient Financial Assistance Programs
• Strong understanding of oncology treatment pathways
• Familiarity with high-cost oncology drugs, infusion services and specialty pharmacy billing preferred
• Working knowledge of diagnosis driven financial impact (metastatic vs early stage treatment cost difference) preferred