[Remote] Patient Financial Counselor

Note: The job is a remote job and is open to candidates in USA. OneOncology is a patient-centric, physician-driven, and technology-powered oncology organization supporting community oncologists and the patients they serve. The Patient Financial Counselor provides financial counseling on insurance benefits, out-of-pocket costs, payment arrangements, and financial assistance while assisting patients with account and insurance questions. The role also documents account activity, coordinates with internal teams, and supports patient balance collection activities.

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

Skills

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

Benefits

• Remote work arrangement

Company Overview