Financial Counselor - Medical Oncology

Description

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:
Provides assistance to patients and family members regarding drug authorizations. Ensures all insurance requirements are met prior to patients receiving ordered treatment.

Responsibilities:

1. Request insurance authorizations for medical treatment via online portal or by phone. Enter authorizations in various systems.
2. Screen patients for charity care, COBRA and Medicaid. Help complete applications as needed.
3. Work with third party payers for copay assistance.
4. Review and appeal claim or authorization rejections.
5. Refer patients to the Manufacturer Drug program as needed for medications.
6. Collaborate with ordering providers to gain clinical insight and NCCN guidelines to effectively and efficiently gain authorizations to avoid treatment delays.
7. Coordinate and facilitate peer reviews.

Other information:
Education Requirements:
* High School diploma or GED
Licensure/Certification Requirements:
* No licensure or certification required.
Professional Experience Requirements:
* Two (2) years of experience working in hospital/clinical services access or billing and collections insurance.
Knowledge/Skills/and Abilities Requirements:
* Excellent communication skills, oral and written. Ability to analyze data, perform multiple tasks and work independently. Must be able to develop and maintain professional, service-oriented working relationships with patients, physicians, co-workers and supervisors. Must be able to understand and comply with policies and procedures.

Legal Employer: NCHEALTH

Entity: Johnston Health

Organization Unit: Medical Oncology

Work Type: Full Time

Standard Hours Per Week: 40.00

Salary Range:$18.66 - $26.51 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Onsite

Work Schedule: Day Job

Location of Job: US:NC:Smithfield

Exempt From Overtime: Exempt: No

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.

Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.