Oncology Financial Counselor – Patient Access & Care

UPMC; Pittsburgh (Allegheny County); On-site; USD 44,000 - 64,000; Full time

Job summary

UPMC Hillman Cancer Center at UPMC St. Margaret Hospital is seeking a Financial Counselor to support insurance verification, authorizations, and financial assistance for patients.

The role also helps with intake of consults, phone triage, and scheduling, serving as a critical link between patients, providers, and the care team. Focus is on delivering a smooth, patient-centered experience from the first call through the visit, with teamwork and attention to detail to ensure access to necessary

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.

Skills

Insurance verification

Prior authorizations

Financial counseling

Patient communication

Teamwork

Job description

UPMC Hillman Cancer Center at UPMC St. Margaret Hospital is seeking a Financial Counselor to support insurance verification, authorizations, and financial assistance for patients.

The role also helps with intake of consults, phone triage, and scheduling, serving as a critical link between patients, providers, and the care team. Focus is on delivering a smooth, patient-centered experience from the first call through the visit, with teamwork and attention to detail to ensure access to necessary