Oncology Financial Access & Risk Advisor

Cardinal Health

California City (CA)

On-site

USD 22,000 - 35,000

Full time

11 days ago

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Job summary

Navista, an oncology practice alliance supported by Cardinal Health, seeks a Coordinator of Financial Counseling to ensure accurate financial clearance, educate patients on costs, and identify financial risk before services are rendered. This role improves reimbursement outcomes and patient experience through proactive financial communication.

Responsibilities include reviewing schedules for clearance, educating patients on costs, identifying risk, reducing denials, documenting conversations,

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
  • Experience with billing systems and interpreting EOBs
  • Proficiency in Microsoft Office Suite
  • Strong organizational, analytical, and communication skills
  • Ability to navigate multiple systems with ease, i.e. EMR, Registration/PMS systems, VOB systems, verifying Auth and Financial clearance with minimal direction from supervisor(s) and leadership
  • Critical thinking and ability to think outside the box, adapt to process and workflow changes easily
  • Experience in oncology or specialty care preferred
  • Working knowledge of: ICD-10, CPT, and HCPCS coding, managed care concepts and fee structures
  • Background in financial counseling or patient-facing financial roles

Responsibilities

  • 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, medical necessity concerns, frequency limitations, and 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.
  • 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.
  • 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.
  • 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.
  • 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.

Skills

Financial clearance
Patient education
Communication
HIPAA compliance

Tools

EMR
Registration/PMS systems
VOB systems

Job description

Navista, an oncology practice alliance supported by Cardinal Health, seeks a Coordinator of Financial Counseling to ensure accurate financial clearance, educate patients on costs, and identify financial risk before services are rendered. This role improves reimbursement outcomes and patient experience through proactive financial communication.

Responsibilities include reviewing schedules for clearance, educating patients on costs, identifying risk, reducing denials, documenting conversations,

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