Patient Financial Counselor

OneOncology, LLC; United States; Remote; USD 52,000 - 78,000; Full time

Job summary

OneOncology is seeking a Patient Financial Counselor to provide financial counseling, verify insurance benefits, determine patient out-of-pocket costs, and arrange payment plans. You will work under the Patient A/R Manager to support patients with compassion and clear explanations of billing responsibilities.

Responsibilities include educating patients on coverage, setting up payment arrangements, assisting with financial assistance programs, documenting activity in EMR systems, and

Qualifications

• 3+ years of experience in financial counseling or AR collections, preferably in oncology healthcare
• Expertise in insurance policies and regulations related to medical billing
• Bachelor’s degree preferred or equivalent experience in related field

Responsibilities

• Educate patients about insurance coverage and benefits (deductible, copay, coinsurance, out-of-pocket costs)
• Determine patient financial ability to pay
• Provide financial counseling on payment arrangements and financial assistance
• Process financial assistance applications per policy and Federal Poverty Levels
• Obtain signatures on applications and route to appropriate teams
• Set up and maintain payment arrangements in account system
• Refer patients to outside social services as needed
• Document all account activity in PM and EMR systems
• Assist patients with questions regarding accounts and coverage
• Answer calls promptly and return messages within 24 hours
• Support balance collection efforts with inbound calls
• Maintain patient confidentiality at all times
• Collaborate with front office and clinical staff on scheduling and financial counseling needs
• Adhere to policies to standardize function
• Support mission to improve lives of cancer patients

Skills

Excellent communication

Customer service

Time management

Medical terminology

Confidentiality

Education

High school diploma or equivalent

Bachelor’s degree preferred

Tools

Patient Management System

Electronic Medical Records (EMR)

Microsoft Office

Job description

OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision.

Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.

Job Description:

Role Summary:

The role works under the direct supervision of the Patient A/R Manager and provides financial counseling services including patient benefits, out of pocket responsibility, payment arrangements and financial assistance. Excellent customer skills required to interact with patients in a compassionate manner to ensure they understand their financial liabilities and available payment.

Responsibilities:

• Educate patients about their insurance coverage and benefits, including deductible, copay, coinsurance and estimated out of pocket costs.
• Determine patient financial ability to pay.
• Provide financial counseling services regarding payment arrangements and financial assistance for uninsured and underinsured patients by phone or in person.
• Make determinations on financial assistance applications based on current Federal Poverty Levels and established policies.
• Obtain information and signatures on financial assistance program applications and route to appropriate teams in a timely manner for optimal financial turn-around.
• Set up, maintain and edit payment arrangements on account when established.
• Refer patients as appropriate to outside social services organizations.
• Properly documents all account activity in Patient Management and Electronic Medical Record systems.
• Assist patients with questions regarding their accounts, insurance coverage and/or patient assistance needs in a skillful manner using appropriate etiquette.
• Answer patient calls and requests promptly and efficiently. Return all messages within 24 hours.
• Assist patient balance collectors with Inbound call volume.
• Maintain patient confidentiality at all times.
• Communicates with front office staff, clinical staff, and patient accounting regarding scheduling, patient treatment and financial counseling needs.
• Follows Policy & Procedure parameters as outlined by management to ensure standardization of function.
• Additional responsibilities may be assigned to help drive our mission of improving the lives of everyone living with cancer.

Required Qualifications:

• High school diploma or equivalent required
• Bachelor’s degree preferred.
• Minimum of 3 years of experience working with financial counseling and/or AR collections, preferably in an Oncology healthcare setting
• Radiation Oncology/Proton experience a plus
• Expertise in insurance policies and regulations related to medical billing

Essential Competencies:

• Attendance is an essential job function.
• Working knowledge of government and managed care benefit structures.
• Excellent written and verbal communication skills.
• Excellent customer service skills.
• Ability to meet deadlines.
• Knowledge of clinic office procedures, medical practice and medical terminology.
• Ability to interpret, adapt and apply guidelines and policies and procedures.
• Ability to recognize, evaluate and solve problems.
• Ability to prioritize work and manage time efficiently.
• Strong knowledge of Windows-based software applications. (E.g.: Word, Excel, Outlook…)
• Strong collaboration with other team members required.

The above job description is a general overview of the responsibilities and competencies for this role at OneOncology. Specific details may vary based on the needs of the organization.

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