Patient Financial Counselor

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. 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 compassionate care to those in need!

Position Details:

• Work Schedule: In office position, Monday - Friday, 8:00 - 4:30 p.m. or 8:30 - 5:00 p.m.
• Holidays: Our practice observes several paid holidays (New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving, and Christmas. In addition, we offer up to four floating holidays per year (pro-rated based on start date).
• Benefits: We offer a competitive benefits package that includes medical, dental, vision, life insurance, short-term and long-term disability coverage, a generous PTO program, 401K matching, a wellness program that rewards you for practicing a healthy lifestyle, and lots of other great benefits such as tuition reimbursement, employee assistance program, and discounts on some of your favorite retailers.

• Ensures all insurance, demographic, and eligibility information is obtained and accurately entered into the system.
• 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 the treatment plan has been discussed, before 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 before 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, deductibles, and other out-of-pocket amounts at the time of visit.
• Assists in maintaining manuals, logs, and other required documentation as required.
• Demonstrates an understanding of 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.

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

Physicial Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. While performing the duties of this job, the employee is regularly required to sit and use hands to manipulate a computer keyboard and mouse. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 30 pounds. Requires vision and hearing corrected to normal ranges.

Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Work is performed in an office environment. Involves frequent contact with staff. While performing the duties of this job, the employee is regularly exposed to direct contact with patients with the potential for exposure to blood, toxic substances, ionizing radiation, and other conditions common to a clinic environment.