Financial Counselor, Cancer Center

Trinity Health; Fort Lauderdale (FL); On-site; USD 55,000 - 75,000; Full time

Job summary

Holy Cross Health Florida in Fort Lauderdale is seeking a Financial Counselor focused on patient billing, treatment costs, insurance coverage, payment resources, and financial assistance options. You will secure and document payment arrangements and guide patients through available programs.

You will submit prior authorizations for high-cost infusion/oncology services, coordinate with patients, physicians, insurers, and pharmaceutical companies, and validate diagnosis codes and medical necessity

Qualifications

• High school diploma or GED required.
• 2-3 years in Patient Access or Patient Accounting for hospital registration or reimbursement.
• HFMA CRCR and/or NAHAM CHAA certification within 1 year of hire.
• Understanding of basic billing and coding.
• Bachelor’s degree or advanced certification preferred; AHIMA/AAPC certifications preferred.

Responsibilities

• Counsel patients on treatment costs, insurance coverage, payment resources and financial assistance; document payment arrangements.
• Submit authorizations for high-cost infusion/oncology services per complex treatment plans; coordinate with patient, physician, insurer and pharmaceutical company.
• Validate payable diagnosis codes/medical necessity and prior therapy requirements per FDA/NCCN guidelines.
• Assist patients with financing, payment plans, grants, co-pay assistance and free-drugs programs.

Skills

Patient counseling

Financial counseling

Insurance coordination

Communication skills

Education

High school diploma or GED

Bachelor’s degree or advanced certification (nice to have)

Job description

Functional Role

Provides patient counseling regarding treatment costs, insurance coverage, available payment resources, and financial assistance options. Secures and documents payment arrangements.

Employment Type

Full time

Shift

Day Shift

Description

Provides patient counseling regarding treatment costs, insurance coverage, available payment resources, and financial assistance options. Secures and documents payment arrangements.

Submits authorization for initial and subsequent high-cost infusion and oncology services based on complex treatment plans. Coordinates with the patient, physician, insurance company, and pharmaceutical company to complete the required pre-authorization process. Validates payable diagnosis codes/medical necessity and prior therapy requirements according to FDA and NCCN guidelines.

Assists patients in financing, payment plans, financial assistance and all financial options through the organization. This includes grants, co-pay assistance for high-cost pharmacy/drugs and free-drugs for infusion and specialty care patients.

Minimum Qualifications

• High school diploma or GED.


• Minimum two (2) to three (3) years experience working in Patient Access or Patient Accounting for hospital registration and / or hospital reimbursement services


• Obtain National certification in HFMA CRCR and/or NAHAM CHAA required within one (1) year of hire.


• Understanding of basic billing and coding.

Additional Qualifications (nice To Have)

• Bachelor’s degree or advanced certification or a combination of advanced training and/or certification (e.g., Registered Nurse, Licensed Practical Nurse, Certified Pharmacy Technician,


• Registered Health Information Technician, or medical coding certification through AHIMA or AAPC

Epic Experience Preferred.

• Knowledge of federal or state government agencies including but not limited to Medicare, Medicaid, VA or Charity Care programs, or patient management and healthcare accounts receivable within the healthcare revenue cycle.

Holy Cross Health Florida in Fort Lauderdale has been named one of America’s Best Employers for Healthcare Professionals by Forbes!

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.