Job description
Tennessee Oncology, one of the nation’s largest, community-based cancer care specialists, is home to one of the leading clinical trial networks in the country. Established 1976 in Nashville, Tennessee Oncology’s mission remains unchanged: To provide access to high-quality cancer care and the expertise of clinical research for all patients, at convenient locations within their community and close to their home. Our growing network of physicians and locations is based on this mission. Tennessee Oncology is committed to advancing both the science of detection and targeted treatments, and to making these advances available to every patient. We believe caring for cancer patients is a privilege.
Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.
Job Description:
The Financial Counselor works under the direct supervision of the Patient A/R Manager and provides financial counseling services including patient benefits, out of pocket responsibility, payment arrangements and financial assistance. Excellent customer skills required to interact with patients in a compassionate manner to ensure they understand their financial liabilities and available payment options.
ESSENTIAL FUNCTIONS:
- Educate patients about their insurance coverage and benefits, including deductible, copay, coinsurance and estimated out of pocket costs.
- Determine patient financial ability to pay.
- Provide financial counseling services regarding payment arrangements and financial assistance for uninsured and underinsured patients by phone or in person.
- Make determinations on financial assistance applications based on current Federal Poverty Levels and established policies.
- Obtain information and signatures on financial assistance program applications and route to appropriate teams in a timely manner for optimal financial turn-around.
- Set up, maintain and edit payment arrangements on account when established.
- Refer patients as appropriate to outside social services organizations.
- Properly documents all account activity in Patient Management and Electronic Medical Record systems.
- Assist patients with questions regarding their accounts, insurance coverage and/or patient assistance needs in a skillful manner using appropriate etiquette.
- Answer patient calls and requests promptly and efficiently. Return all messages within 24 hours.
- Assist patient balance collectors with Inbound call volume.
- Maintain patient confidentiality at all times.
- Communicates with front office staff, clinical staff, and patient accounting regarding scheduling, patient treatment and financial counseling needs.
- Follows Tennessee Oncology Policy & Procedure parameters as outlined by management to ensure standardization of function.
KNOWLEDGE, SKILLS & ABILITIES:
- Working knowledge of government and managed care benefit structures.
- Excellent written and verbal communication skills.
- Excellent customer service skills.
- Ability to meet deadlines.
- Knowledge of clinic office procedures, medical practice and medical terminology.
- Ability to interpret, adapt and apply guidelines and policies and procedures.
- Ability to recognize, evaluate and solve problems.
- Ability to prioritize work and manage time efficiently.
- Strong knowledge of Windows-based software applications. (E.g.: Word, Excel, Outlook…)
- Strong collaboration with other team members required.
EDUCATION & EXPERIENCE:
- High School diploma or equivalent required.
- Basic understanding of oncology practice management preferred, in-depth understanding of insurance.
PHYSICAL REQUIREMENTS:
Job Title:
Physical Activity Required
Amount of time
None
Less than 1/3
(Occasionally)
(Occasionally)
1/3 to 2/3
(Frequently)
(Frequently)
More than 2/3
(Regularly)
(Regularly)
Standing
X
Walking
X
Sitting
X
Fingering or manual dexterity
X
Repetitive finger motion
X
Lifting or exerting force
X
Up to 10 pounds
Up to 25 pounds
X
Up to 50 pounds
Up to 100 pounds
Over 100 pounds
Reaching or stretching
X
Climbing or balancing
X
Crouching or stooping
X
Speaking
X
Hearing
X
Seeing (with correction)
X
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