Oncology Financial Counselor - Patient Cost & Access

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

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