Primary Responsibilities

The Oncology Financial Counselor is responsible for meeting with patients and communicating insurance benefits and responsibilities to develop appropriate plans to assist the patient. The Financial Counselor assists in completing all patient assistance programs, drug copay programs, drug copay foundation applications required to receive external eligibility and internal financial assistance as well as if needed submitting Medical Assistance applications (Adult Category, Healthy Horizon, BCCPT, Emergency Medical Assistance, MAWD).

Essential Functions

• Working knowledge of healthcare insurance, particularly Medicare and Medicaid.
• Working knowledge of Oncology Patient Assistance Programs.
• Stays abreast of changes in major insurance plans and Oncology Patient Assistance Programs.
• Enrollment of different Patient Assistance Programs.
• Understanding of hospital and physician claims and payments to identify patient responsibility.
• Submitting claims to Patient Assistance Programs after insurance payments
• Strong Microsoft Office Excel skills.
• Able to prioritize and execute tasks in a high-pressure environment.
• Highly self-motivated, self-directed, and attentive to detail.
• Strong written, oral, and interpersonal communication skills.
• Communicates with the Medical Oncology Team and Management on issues (verification, registration, obtaining benefits) and providing solutions to ensure that issues are settled.
• Interacts with co-workers, visitors, and other staff consistent with the core values of the Hospital.

Education

High School diploma or GED required. Associates degree in Business/Healthcare preferred. Work experience may be considered in lieu of the Associates degree.

Experience Requirements

• Previous experience required in one or more of the following roles: Patient Access Representative,
  Financial Counselor, Customer Service Representative, Patient Accounts Billing Representative, Patient Accounts Collections Representative.
• Knowledge of hospital and physician billing and collections.
• Knowledge of State and Federal financial assistance programs.
• Clear, effective communication skills; mature approach to problem solving for all types of issues;
• Skills in using PC computers and computer applications
• Knowledge of medical terminology; negotiating skills; and detail orientation.
• To perform this job successfully, an individual must demonstrate competence in each essential duty.

Jefferson includes Thomas Jefferson University and Jefferson Health, a dynamic university and health system with broad reach across the Delaware Valley. Jefferson is the second largest employer in Philadelphia and the largest health system in Philadelphia based on total licensed beds.

Through the merger of Thomas Jefferson University and Philadelphia University in 2017, our University includes ten colleges and four schools. We are an NCAA Division II university and an R2 national doctoral university offering undergraduate and graduate-level programs that provide students with a forward-thinking education in architecture, business, design, engineering, fashion and textiles, health, medicine and social science.

Jefferson Health, the clinical arm of Thomas Jefferson University, has grown from a three-hospital academic health center in 2015, to an 18-hospital health system through mergers and combinations that include hospitals at Abington Health, Aria Health, Kennedy Health, Magee Rehabilitation and Einstein Healthcare Network. We have over 50 outpatient and urgent care centers; ten Magnetreg;-designated hospitals (recognized by the ANCC for nursing excellence); the NCI-designated Sidney Kimmel Cancer Center (one of only 70 in the country and one of only two in the region); and one of the largest faculty-based telehealth networks in the country. In 2021, Jefferson Health became the sole owner of HealthPartners Plan, a not-for-profit health maintenance organization in Southeastern Pennsylvania. We are the first health system regionally to create an aligned payer-provider partnership.

Jeffersonrsquo;s mission, vision and values create an organization that attracts the best and the brightest students, faculty, staff, and healthcare professionals, as well as the most visionary leaders to drive exceptional results.

• OUR MISSION: We improve lives.
• OUR VISION: Reimagining health, education and discovery to create unparalleled value
• OUR VALUES: Put People First, Be Bold amp; Think Differently and Do the Right Thing

As an employer, Jeffersonmaintains a commitment to provide equal access to employment. Jefferson values diversity and encourages applications from women, members of minority groups, LGBTQ individuals, disabled individuals, and veterans.