Financial Counselor

SUMMARY

The Financial Counselor is responsible for completing all insurance eligibility and verification processes to support individualized financial counseling for each patient regarding their financial responsibilities. Financial counseling meetings will be conducted with all patients within the initial weeks of treatment. These meetings will result in either payment in full of the patient’s outstanding balance or the establishment of a payment plan in accordance with company policy.

Performs the following duties personally and coordinates with team members to ensure successful completion of assigned tasks.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

Essential Duties:

• Meets with patients to explain cost of treatment, insurance coverage, and patient financial responsibility.
• Coordinates proper insurance verification information/documentation of patient’s insurance, to be used to estimate the patient’s financial responsibility.
• Responsible for collecting co-pays/deductibles from patients, assisting with establishing effective and timely payment plans.
• Courteously and professionally works with patients to outline financial obligations related to care, and provides options for patients to meet financial requirements, including assessing financial assistance eligibility, determining insurance coverage eligibility, establishing payment arrangements, collecting preservice payments and co-payments as needed.
• Responsible for monitoring and collecting the financial balances owed by our patients during their course of treatment.
• Reviews all payment / financial options (Financial hardships / Charity, Special arrangement options, Payments plans, etc.) to limit risk of non-payment.
• Assists patients with questions regarding billing and insurance payments.
• Assists patients with applying for local grants, foundations, and free drugs to offset the patient responsibility.
• Complete wrap up meetings with patients at the end of treatment to ensure patients adhere to payment obligations.
• This position serves to educate patients regarding their insurance coverage and individual financial responsibility for cancer therapies. Further, the position will provide patients access to financial resources available to them as well as assistance with the process.
• Completely and accurately document conversations and communication with patients, payors, third party vendors, and any other representative in and outside of the organization.
• Payment postings.

This job description in no way states or implies that these are the only duties to be performed by this employee. He or she will be required to follow any other instructions and to perform any other duties requested by his or her supervisor.

SUPERVISORY RESPONSIBILITIES

This job has no supervisory responsibilities.

QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and EXPERIENCE

• Two or more years’ experience in medical office setting.
• Experience in collections.
• Requires interpretation of insurance coverage eligibility, and ability to address any in/out of network coverage or self-pay issues.
• Strong knowledge of medical terminology as well as ICD-10 and CPT codes.
• Excellent oral and written communication skills.
• Detail oriented with good organizational skills.
• Mathematical skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
• Work under limited supervision with ability to understand and meet department productivity standards.
• Maintain a positive and respectful attitude.
• Bi-lingual in Spanish is a must