Job description

General Summary of Duties: This position is responsible for financially clearing, educating, and counseling patients in the infusion center prior to receiving treatment.

Essential Functions:

• Review treatment regimens or orders to determine services to be rendered.
• Gather relevant data for eligibility and benefit verification including all diagnosis codes and billable CPT codes per orders.
• Verify eligibility and medical benefits with third party payers for scheduled services including but not limited to infusion treatment, injections, chemotherapy, and flow cytometry testing.
• Obtain prior authorizations, pre-determinations, or any prerequisites prior to services being rendered. Complete daily authorization report in the EMR.
• Ensure the patient meets all criteria as outline by the third party payer’s reimbursement policies and or clinical policies.
• Document detailed eligibility and benefit details in the patient’s electronic chart.
• Price regimens and treatment orders to calculate patient’s responsibility.
• Generate a patient financial treatment estimate and counsel each patient prior to the start of each new regimen or treatment.
• Identify patients in need of financial assistance and submit to the financial assistance department for evaluation.
• Document all patient financial counseling activities and interactions in the patient’s electronic chart.
• Generate a daily patient collection report for scheduled infusion center patients for the front desk staff.
• Reconcile the daily patient collection report against collections and prepare the daily deposit.
• Communicate to the infusion nurses and treating physicians any delays in the financial counseling process including patients that are not cleared for treatment in a timely manner.
• Communicate to the front desk staff any patients that need to be seen by financial counseling prior to services being rendered.
• Counsel, educate, and assist patients with inquiries regarding to their financial responsibility, assistance availability, insurance, and benefits.

• Perform other duties assigned by management.

Experience: Minimum of 2 years’ experience as a medical financial counselor in oncology in a clinic or hospital setting.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• Oncology: 2 years (Preferred)
• Financial Counselor: 2 years (Required)

Work Location: One location

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