Financial Counselor | Oncology

Join our team as a Financial Counselor in Medical Oncology!

Position: Financial Counselor with UPMC Hillman Cancer Center at UPMC St. Margaret Hospital

Status: Regular, Full-Time 40 hours/week

Hours: Monday through Friday, 8:00 am - 4:30 pm. No evenings, weekends, or holidays!

We have an exciting opportunity for a Financial Counselor who will play a crucial role in ensuring patients receive the care they need.

As a Financial Counselor, you'll be at the heart of the patient experience. In addition to verifying insurance benefits, securing authorizations, and exploring financial assistance options, this role also supports key front office operations. You'll assist with the intake of consults, manage phone triage, and help schedule patient appointments, making you a vital link between patients, providers, and the care team.

Your expertise, attention to detail, and collaborative approach will help create a smooth, supportive experience for patients from their first call through their visit. If you enjoy variety, teamwork, and making a meaningful impact each day, this role offers the opportunity to truly make a difference.

Ready for the challenge? Apply online today and be part of our mission to provide exceptional care at Hillman Cancer Center!

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.
• 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.
• Previous insurance experience and prior authorization processes preferred

Licensure, Certifications, and Clearances:

• Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran