Financial Counseling Coordinator

This is a fully remote position, open to applicants in California.

📋 Description

• Assess daily schedules to pinpoint patients needing financial clearance.

• Inform patients about their anticipated financial responsibilities, such as deductibles, copayments, coinsurance, and out-of-pocket maximums.

• Convey treatment costs and payment expectations prior to the commencement of services.

• Aid patients in comprehending their financial obligations before receiving services.

• Analyze financial risks related to scheduled services, including coverage limitations, medical necessity concerns, frequency limitations, and out-of-network benefits and coverages.

• Recognize accounts that may lead to patient balances or denied claims.

• Elevate high-risk accounts to leadership or relevant teams.

• Cooperate with clinical and administrative teams to mitigate claim denial risks.

• Facilitate the resolution of pre-service financial issues that affect reimbursement.

• Identify trends related to financial risk and patient responsibility.

• Keep precise records of financial discussions with patients.

• Ensure documentation is clear, comprehensive, and adheres to organizational standards.

• Uphold patient confidentiality in line with HIPAA regulations.

• Collaborate with clinical and administrative teams regarding patient financial readiness.

• Support accurate and prompt revenue cycle processes.

• Deliver outstanding customer service.

• Handle multiple tasks in a dynamic environment.

• Assist with additional duties and projects as required.

⛳️ Requirements

• At least 4 years of experience in a healthcare business office or revenue cycle position preferred.

• In-depth knowledge of insurance, benefits, and patient Financial Assistance Programs.

• Solid understanding of oncology treatment pathways.

• Familiarity with high-cost oncology medications, infusion services, and specialty pharmacy billing preferred.

• Working knowledge of diagnosis-driven financial implications (differences in costs for metastatic vs. early-stage treatments) preferred.

• Experience with billing systems and interpreting Explanation of Benefits (EOBs).

• Proficient in Microsoft Office Suite.

• Strong organizational, analytical, and communication skills.

• Capability to navigate multiple systems efficiently, including EMR, Registration/PMS systems, and VOB systems.

• Ability to verify authorization and financial clearance with minimal guidance from supervisors and leadership.

• Strong critical thinking skills and adaptability to process and workflow changes.

• Experience in oncology or specialty care preferred.

• Familiarity with ICD-10, CPT, and HCPCS coding, managed care concepts, and fee structures.

• Background in financial counseling or patient-facing financial roles.

🏝️ Benefits

• Medical, dental, and vision coverage.

• Paid time off plan.

• Health savings account (HSA).

• 401k savings plan.

• Access to wages before payday with myFlexPay.

• Flexible spending accounts (FSAs).

• Short- and long-term disability coverage.

• Work-life resources.

• Paid parental leave.

• Healthy lifestyle programs.