Are you an experienced medical office professional looking for growth and promotion within UPMC? The Hillman Cancer Center has an exciting opportunity to join our team and expand your skills!
UPMC Hillman Cancer Center is seeking a full-time Financial Counselor to support our medical oncology office located at UPMC Passavant-McCandless in the North Hills. This is a Monday through Friday, daylight position. Perks of this position include no weekends or holidays required & free onsite parking!
This position will split duties as a financial counselor and a front office assistant. In this role, you will obtain verification of patients' benefits before service and obtain appropriate insurer authorizations for all relevant services when applicable. You will also be expected to help with check-in, check-out, and scheduling patient appointments.
If this sounds like a good fit for you, we invite you to explore this Financial Counselor opportunity and learn how you can make an impact in the lives of others while building the career you've always wanted.
Responsibilities:
Obtain initial and subsequent prior authorization/referrals as required by specific payers.
Secure verification of insurance benefits before office visits and required treatments.
Initiate Financial Assessment Applications for those patients who do not have adequate insurance coverage.
Work in collaboration with the 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.
Verify necessary information and records in the medical record and computerized scheduling system.
Schedule, coordinate, and reschedule patient's appointments. Relay necessary messages to staff and providers.
Greet and register patients in a polite, prompt, helpful manner. Provide any necessary instructions/directions. Inform appropriate department/person of person's arrival performing appropriate check-in and check-out functions.
Prepare patient charts for upcoming appointments.
Answer telephone, screens calls, takes messages, and provide information.
Maintain and update current information on physician's schedules ensuring that patients are scheduled properly and appointments are confirmed.
Complete necessary paperwork such as encounter forms and referrals. Use computer system to generate information necessary for billing.
Answer questions regarding patient appointments and testing.
Complies with all UPMC Health System policies and procedures.Maintain strict confidentiality related to medical records and other data.
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 34UPMC is an Equal Opportunity Employer/Disability/Veteran