Financial Counselor

Job Details

Job Description

Primary Responsibilities

The Oncology Financial Counselor is responsible for meeting with patients and communicating insurance benefits and responsibilities to develop appropriate plans to assist the patient. The Financial Counselor assists in completing all patient assistance programs, drug copay programs, drug copay foundation applications required to receive external eligibility and internal financial assistance as well as if needed submitting Medical Assistance applications (Adult Category, Healthy Horizon, BCCPT, Emergency Medical Assistance, MAWD).

Essential Functions

• Working knowledge of healthcare insurance, particularly Medicare and Medicaid.
• Working knowledge of Oncology Patient Assistance Programs.
• Stays abreast of changes in major insurance plans and Oncology Patient Assistance Programs.
• Enrollment of different Patient Assistance Programs.
• Understanding of hospital and physician claims and payments to identify patient responsibility.
• Submitting claims to Patient Assistance Programs after insurance payments
• Strong Microsoft Office Excel skills.
• Able to prioritize and execute tasks in a high-pressure environment.
• Highly self-motivated, self-directed, and attentive to detail.
• Strong written, oral, and interpersonal communication skills.
• Communicates with the Medical Oncology Team and Management on issues (verification, registration, obtaining benefits) and providing solutions to ensure that issues are settled.
• Interacts with co-workers, visitors, and other staff consistent with the core values of the Hospital.

Education

High School diploma or GED required. Associates degree in Business/Healthcare preferred. Work experience may be considered in lieu of the Associates degree.

Experience Requirements

• Previous experience required in one or more of the following roles: Patient Access Representative,
  Financial Counselor, Customer Service Representative, Patient Accounts Billing Representative, Patient Accounts Collections Representative.
• Knowledge of hospital and physician billing and collections.
• Knowledge of State and Federal financial assistance programs.
• Clear, effective communication skills; mature approach to problem solving for all types of issues;
• Skills in using PC computers and computer applications
• Knowledge of medical terminology; negotiating skills; and detail orientation.
• To perform this job successfully, an individual must demonstrate competence in each essential duty.

Work Shift

Worker Sub Type

Primary Location Address

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

Benefits

At Jefferson, we offer a comprehensive total rewards package designed to support the health and well-being of our colleagues and their families. It includes a wide range of benefits including competitive pay, health and retirement benefits, life and disability insurance, paid time off, educational benefits, financial and mental health resources and much more. Our diverse benefits offerings ensure you have the coverage and access to services you need to thrive both personally and professionally.