Financial Counseling Coordinator

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

📋 Description

• Review daily schedules to pinpoint patients who need financial clearance.

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

• Clearly communicate treatment costs and payment expectations before services are rendered.

• Assist patients in comprehending their financial obligations.

• Assess financial risks related to scheduled services, including coverage limitations, medical necessity issues, frequency restrictions, and out-of-network benefits.

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

• Escalate high-risk accounts for further review.

• Collaborate with clinical and administrative teams to mitigate claim denials.

• Support the resolution of pre-service financial challenges that could impact reimbursement.

• Recognize trends associated with financial risk and patient responsibility.

• Maintain precise documentation of financial conversations.

• Ensure that notes adhere to organizational standards while safeguarding patient confidentiality in accordance with HIPAA.

• Coordinate with internal teams to facilitate accurate and timely revenue cycle operations.

• Deliver outstanding customer service.

• Manage multiple responsibilities in a fast-paced environment.

• Assist with additional tasks and projects as assigned.

⛳️ Requirements

• A minimum of 4 years of experience in a healthcare business office or revenue cycle position is preferred.

• Strong understanding of insurance, benefits, and patient Financial Assistance Programs.

• Solid grasp of oncology treatment pathways.

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

• Working knowledge of diagnosis-driven financial impacts is preferred.

• Experience with billing systems and the interpretation of EOBs.

• Proficient in Microsoft Office Suite.

• Excellent organizational, analytical, and communication skills.

• Ability to navigate various systems, including EMR, Registration/PMS systems, and VOB systems.

• Capable of verifying authorization and financial clearance with minimal guidance.

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

• Experience in oncology or specialty care is 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.