patient financial counselor sr

The US Oncology Network believes local cancer care is better care and in 2017 Vantage Oncology joined The US Oncology Network. The US Oncology Network empowers the delivery of advanced integrated cancer care through our network of independent physicians who share expertise and resources to provide quality, value-based care close to home. Our clinical and business support capabilities, expertise and industry-leading technologies keep local practices at the forefront of high quality, efficient care delivery while enabling practice success, quality of life and financial security for physicians.

West Floriday Radiation Therapy has an immediate opening for a Patient Financial Counselor.

SCOPE: Under minimal supervision, is responsible for insurance verification and eligibility, assessment of patient financial requirements and counseling patients on insurance benefits and co-payments. Obtains pre-authorization of services. Obtains and maintains accurate patient demographics. Serves as a resource to resolve special account issues and balances. May assist with daily and monthly business office functions, including reporting, file maintenance and special projects. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards and Shared Values.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

-Ensures all insurance, demographic, and eligibility information is obtained and entered into the system in an accurate manner.

-Performs insurance verification process on all third party payers. Obtains initial and subsequent pre-authorization for services. Re-verifies benefits and obtains authorization and/or referral as necessary.

-Performs and documents financial counseling process on all patients prior to treatment, which includes patient financial obligations, billing practices and establishing payment arrangements. Serves as a resource for other financial counselors regarding issues with patient accounts and calculates and documents payment arrangement agreements.

-Reviews and processes adjustments and refund requests. Assists with review of financial disclosures and negotiated agreement adjustments.

-May assist with resolving large dollar amounts.

-May assist with daily and monthly business office functions, including reporting, file maintenance and special projects.

-Assists patients in obtaining financial assistance (i.e. Medicaid, drug replacement), outside assistance (i.e. transportation or other community services), and ensures appropriate forms completion.

-Assists in maintaining manuals, logs and other required documentation as required.

-Follows policies and procedures to contribute to the efficiency of the business and front office. Covers for and assists with other functions as requested.

MINIMUM QUALIFICATIONS:

High school diploma and at least five years of medical business office experience inclluding insurance procedures, patient interaction, and health records systems experience required.

PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work may require sitting for long periods of time; also stooping, bending and stretching for files and supplies. Occasionally lifting files or paper weighing up to 40 pounds. Requires manual dexterity sufficient to operate a keyboard, calculator, telephone, copier and other office equipment. Vision must be correctable to 20/20 and hearing must be in the normal range for telephone contacts. It is necessary to view and type on computer screens for prolonged periods of time.

WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves frequent interaction with staff, patients, and outside insurers.