Remote Oncology Financial Counselor — Reimbursement & Access

UCSF Health; Burlingame (CA); On-site; USD 70,000 - 90,000; Full time

Job summary

UCSF Health's Cancer Services of the Peninsula region in Burlingame and San Mateo seeks a Financial Counselor to oversee screening of insurance coverage, manage self-pay workflows, and guide patients through access programs during treatment. This role requires strong knowledge of Medicare and contract requirements and excellent collaboration with clinicians to maximize reimbursement.

The position emphasizes analyzing denial trends, developing efficient workflows, and educating staff on financial

Qualifications

• Thorough knowledge of billing and/or collections processes, concepts, systems and external regulations.
• Knowledge of medical terminology and coding.
• Advanced knowledge of the multiple billing and accounting systems used.

Responsibilities

• Lead projects and analyze insurance denial trends.
• Develop and implement procedures to maximize reimbursement.
• Assess for financial toxicity and screen for eligibility for patient assistance programs.
• Maintain expert knowledge of Medicare and insurance contract requirements.
• Provide cost estimates and ensure patients complete the financial process prior to treatment.
• Manage RFIs from denials.

Skills

Billing knowledge

Customer service

Analytical skills

Communication

Education

HS Diploma/GED

Bachelor's degree

Tools

Billing systems

Accounting systems

Spreadsheets

Job description

UCSF Health's Cancer Services of the Peninsula region in Burlingame and San Mateo seeks a Financial Counselor to oversee screening of insurance coverage, manage self-pay workflows, and guide patients through access programs during treatment. This role requires strong knowledge of Medicare and contract requirements and excellent collaboration with clinicians to maximize reimbursement.

The position emphasizes analyzing denial trends, developing efficient workflows, and educating staff on financial