Patient Financial Counselor (PFC)

US Oncology Network - Winchester, VA

Full-time

Onsite - Winchester, VA

Ambulatory Health Care Services

About the position

Shenandoah Oncology is actively seeking a highly detail-oriented, motivated, and empathetic Patient Financial Counselor (PFC) to join our dedicated team. As a PFC, you will play a crucial role in our organization by ensuring accurate insurance verification and eligibility, assessing patients' financial requirements, and providing valuable counseling on insurance benefits and co-payments. In addition, you will be responsible for obtaining pre-authorization for services and maintaining precise patient demographics. This position requires full-time, in-office availability as it is not eligible for remote work. We offer flexible shifts, with options available from Monday to Friday, either from 8:00 a.m. to 4:30 p.m. ET or 8:30 a.m. to 5:00 p.m. ET. To acknowledge the importance of work-life balance, our practice observes several paid holidays, ensuring you have quality time to spend with your loved ones. Moreover, we provide a competitive benefits package, which reflects our commitment to supporting our valued team members. If you possess a keen eye for detail, a passion for helping others, and a desire to make a meaningful impact in the lives of our patients, we encourage you to apply for this rewarding position. Join our team at Shenandoah Oncology and contribute to our mission of providing passionate care to those in need!

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 and surgeries.
• Re-verifies benefits and obtains authorization and/or referral after treatment plan has been discussed, prior to initiation of treatment.
• Ensures appropriate signatures are obtained on all necessary forms.
• Utilizes the Summary of Patient Reimbursement and Liability form and obtains appropriate approvals as required.
• Performs financial counseling process on all patients prior to treatment, which includes patient financial obligations, billing practices and establishing payment arrangements.
• Documents financial counseling process and forwards to Billing Office.
• Assists patients in obtaining financial assistance (i.e. Medicaid, drug replacement), outside assistance (i.e. transportation or other community services), and all appropriate forms filled out.
• Collects co-pays, deductible and other out of pocket amounts at time of visit.
• Assists in maintaining manuals, logs and other required documentation as required.
• Demonstrates an understanding for patient confidentiality to protect the patient and the clinic/corporation.
• Follows policies and procedures to contribute to the efficiency of the front office.
• Covers for and assists with other front office functions as requested.
• Obtain authorizations for Imaging and Oral Medications.

Requirements

• High school diploma or equivalent required.
• Minimum three years of medical business office experience with insurance procedures and patient interaction.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• Life insurance
• Short-term disability coverage
• Long-term disability coverage
• Generous PTO program
• 401K matching
• Wellness program
• Tuition reimbursement
• Employee assistance program
• Discounts on retailers