Manager, Financial Counseling

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

📋 Description

• Lead a team of financial counselors offering real-time assistance to patients, physicians, nurses, and care coordinators throughout the oncology care continuum.

• Act as an escalation point for intricate or urgent patient financial matters that may delay or interrupt care.

• Ensure that financial counseling services are integrated into clinical workflows to facilitate same-day decisions and treatment commencement.

• Advocate for a patient-centered approach that harmonizes financial clarity, empathy, and access to care.

• Oversee front-end revenue cycle activities, including insurance verification, benefits interpretation, prior authorization support, and patient cost estimation.

• Guarantee the prompt identification and resolution of coverage issues before treatment initiation.

• Collaborate with downstream RCM teams (coding, billing, collections, denial management) to maintain continuity and precision across the revenue cycle.

• Track KPIs related to access, counseling timeliness, authorization turnaround, point-of-service collections, and financial clearance rates.

• Manage processes for screening and enrolling patients in financial assistance programs such as manufacturer assistance, charity care, grants, and foundation support.

• Maintain expertise in oncology-specific reimbursement, benefit structures, and emerging payer policies.

• Ensure the compliant and consistent application of financial assistance guidelines and documentation.

• Recruit, train, mentor, and assess financial counseling staff across various sites or service lines.

• Establish standard operating procedures and best practices to provide immediate support to patients and providers.

• Promote strong communication, accountability, and service excellence within the team.

• Serve as a trusted operational partner to physicians, APPs, nursing leaders, and practice administrators.

• Convert financial and coverage information into clear, actionable guidance for care teams.

• Participate in clinic leadership meetings and cross-functional initiatives aimed at enhancing access, growth, and patient experience.

• Ensure that all financial counseling activities adhere to regulatory, payer, and organizational standards.

• Support internal and external audits concerning financial clearance, authorizations, and assistance programs.

• Continuously enhance processes to alleviate administrative burdens on clinical teams and patients.

⛳️ Requirements

• Bachelor’s degree in healthcare administration, business, finance, or a related field (or equivalent experience).

• 5+ years of progressive experience in healthcare revenue cycle or financial counseling, preferably within oncology.

• 3+ years of experience in people management or team leadership.

• Strong understanding of insurance plans, oncology benefits, prior authorizations, and patient financial responsibilities.

• Proven ability to collaborate directly with clinical teams in fast-paced care environments.

• Experience in a large MSO, multi-site oncology practice, or complex specialty setting.

• Familiarity with EHR and RCM systems (e.g., Epic, Aria/Mosaiq, OncoEMR, or similar).

• Comprehensive understanding of oncology drug reimbursement models, including buy-and-bill, specialty pharmacy carve-outs, and alternative funding pathways.

• Knowledge of ASP, WAC, AWP, and other drug pricing methodologies and their effects on charge capture and margin.

• Familiarity with Medicare Part B vs. Part D, variations among commercial payers, and differences in site-of-care reimbursement.

🏝️ 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.