Primary responsibilities include 1) leading projects and analyzing insurance denial trends, 2) developing and implementing procedures and systems in support of efficient workflows and maximization of reimbursement, 3) assessing for financial toxicity and screening patients for eligibility and enrolling patients on to applicable patient assistance programs, work closely with providers and pharmacists in assessing alternative treatments as appropriate to clinical indication, 4) responsible for developing, leading, and maintaining expert knowledge of Medicare and insurance contract requirements, 5) providing cost estimates and ensures patients complete the financial process prior to treatment, and 6) managing requests for information (RFIs) that arise from denials. The Financial Counselor is responsible for all spectrums of screening and assessment of insurance coverage including financial toxicity risk level, facilitates the self-pay workflow, supports off-label treatment authorization, navigates patient and drug assistance programs with patients through the treatment process, and maintains practices and processes that support the financial health of the organization.