What are the responsibilities and job description for the Financial Counselor position at UPMC?
Description
UPMC Hillman Cancer Center is internationally recognized for its leadership in the prevention, detection, diagnosis, and treatment of cancer and is the region's only comprehensive cancer center designated by the National Cancer Institute.
As the preeminent institution in western Pennsylvania for the delivery of cancer care, the performance of basic, translational, and clinical research, and the education of the next generation of cancer researchers and physicians, UPMC Hillman Cancer Center is exceptionally well positioned to contribute to the global effort to reduce the burden of cancer.
UPMC Hillman Cancer Center is currently hiring a full-time Financial Counselor to provide support to our Monroeville location. This will be a Monday - Friday, daylight position.
The Financial Counselor will obtain verification of patients' benefits prior to service; as well as appropriate insurer authorizations for all relevant services when applicable. Do you have health insurance experience? Are you looking for a rewarding career in a fast-paced environment? Apply today!
Responsibilities:
- Obtain initial and subsequent prior authorization/referrals as required by specific payers.
- Secure verification of insurance benefits prior to office visits and required treatments.
- Initiate Financial Assessment Application for those patients who do not have adequate insurance coverage.
- Work in collaboration with billing department to resolve open insurance claims as presented by walk-in patients.
- Assists with other office functions as required.
- Ability to work in a team environment.
- Evaluate all self pay patients, as well as those patients who are being prescribed drugs that are not reimbursable, to determine eligibility for financial assistance through drug reimbursement programs, off label drug policy, medical assistance and/or all other applicable programs as made available.
- Demonstrate the ability to solve problems through effective communication.
- Demonstrate an understanding of patient confidentiality with regards to HIPAA Regulations in order to protect both the patient and the UPMC Cancer Centers.
- Complete the financial counseling process for all patients prior to treatment, including evaluation of patient financial obligations.
- Meet with patients and designated family members to discuss billing issues.
- Utilize the Summary of Patient Reimbursement and Liability Form and obtain appropriate approvals, as required, prior to services being rendered.
Qualifications
- Completion of High school diploma or GED
- 3 years work experience, preferably in a medical office setting
- Prefer knowledge of medical terminology; third party payer rules and regulations; and credit and collections laws
- Word processing and computer experience required preferably including EPIC experience.
Licensure, Certifications, and Clearances:
- Act 34
- UPMC is an Equal Opportunity Employer/Disability/Veteran
Salary : $16 - $24
