Patient Financial Counselor

Astera Cancer Care; United States; Remote; USD 52,000 - 78,000; Full time

Job summary

OneOncology is seeking a Financial Counselor to provide patient financial counseling, determine affordability, and set up payment arrangements under the supervision of the Patient A/R Manager. The role requires compassionate communication to help patients understand their insurance benefits and out-of-pocket responsibilities.

You will educate patients on coverage, assist with applications for financial assistance, and coordinate with front office and clinical staff to ensure timely and accurate

Qualifications

• High school diploma or equivalent required
• Bachelor’s degree preferred
• Minimum of 3 years of experience in financial counseling and/or AR collections in oncology healthcare setting
• Familiarity with insurance policies and medical billing regulations

Responsibilities

• Educate patients about insurance coverage and benefits including deductible, copay, coinsurance and estimated out-of-pocket costs
• Determine patient financial ability to pay
• Provide financial counseling for payment arrangements and financial assistance for uninsured/underinsured
• Process financial assistance applications based on poverty guidelines and policies
• Document all account activity in EMR and billing systems
• Maintain confidentiality and communicate with staff regarding scheduling and treatment needs

Skills

Customer service

Written & verbal communication

Time management

Attendance essential

Windows-based software

Education

High school diploma or equivalent

Bachelor’s degree preferred

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

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.

#LI-REMOTE

OneOncology was founded by community physicians, for community physicians, with the mission of improving the lives of everyone living with cancer and other diseases. Our goal is to enable community medical practices to remain independent and to improve patient access to care in their communities, all at a lower cost than in the hospital setting. OneOncology supports our platform of community medical practices through group purchasing, operational optimization, practice growth, and clinical innovation. Our partner practices comprise approximately 2,300+ providers who care for approximately 1.5 million patients across 20 states.