Patient Financial Counselor
PRISM Vision Group
Patient Financial Counselor
The Cancer Center of Kansas (CCK) is seeking a full-time, on-site Patient Financial Counselor to join our team in our Wichita, KS offices. The typical work week is Monday through Friday, 8:30 AM – 5:00 PM with no major holidays, no on-call and no weekends.
As part of The US Oncology Network and with over 40 years being established in Kansas, CCK delivers quality, personalized cancer care to communities across the state. Our physicians and staff treat patients in over 18 locations throughout the state. Our management and physician teams continue to be recognized in our communities for Excellence in Healthcare! With our mission in mind, we value each and every employee for their life-saving expertise and the role they play in making our patients' lives as easy and comfortable as possible. Our employees are our most valuable resource. They help us create and continue to deliver on our mission. In CCK's partnership with the US Oncology Network, one of the nation's largest networks of community-based oncology physicians dedicated to advancing cancer care in America and supported by McKesson Corporation, we are able to extend an extremely competitive offering of benefits to employees, including:
- Medical Health Care
- Dental Care
- Vision Plan
- 401-K with a matching component
- Life Insurance
- Short-term and Long-term disability
- FSA and HSA
- Legal Insurance
- Competitive Paid Time Off Plan
- Wellness & Perks Programs
What does this position entail?
Under general supervision, is responsible for assessment of patient financial requirements, counseling patients on insurance benefits and co-payments as well as assisting patients with applications for drug reimbursement, copay, and foundation assistance. Orders and tack drug received for patients approved for assistance, file claims to foundations and copay programs. Supports and adheres to the US Oncology Compliance Program, including the Code of Ethics and Business Standards.
Responsibilities
- Assist all patients that do not have insurance or patients with a limited coverage policy in obtaining financial assistance (i.e. Project Access, drug replacement or co-pay assistance), outside assistance (i.e. transportation or other community services), and all appropriate forms.
- Coordinate with the patient and provider to obtain all information and signatures for drug reimbursement requirements per manufacture/program.
- Upload or fax all applications and the pertinent financial forms (along with the physician's signature and the prescription) required for assistance to the manufacture/program.
- Collaborate with the treatment authorization team to identify patients in need of assistance and notify them once approvals are in place.
- Utilizes the Summary of Patient Reimbursement and Liability form and obtains appropriate approvals as required.
- Performs financial counseling process on all patients prior to treatment, which includes patient financial obligations, billing practices and establishing payment arrangements.
- Documents financial counseling process.
- Order and track all approved drugs for patients according to their schedule.
- Assists in maintaining manuals, logs and other required documentation as required.
- Communicate with pharmaceutical companies Field Reimbursement Managers to stay up to date on program changes.
- Demonstrates an understanding for 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.
- Attends required, applicable meetings.
- Remains current on all compliance requirements.
- Ensures all applicable policies and procedures of the company and Network are followed.
- Other duties as requested or assigned including coverage within the department.
- Performs other tasks as reasonably requested by a provider or member of the Management Team, as applicable to the role.
Supervisory Responsibilities: None.
Qualifications
The ideal candidate for the position will have the following qualifications:
Minimum Qualifications:
- High school degree or equivalent required
- Minimum three (3) years medical insurance verification and authorization required.
Physical Demands of the Job: 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 the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range. 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 the essential functions. Exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations, and other conditions common to an oncology/hematology clinic environment may occur. Work is performed in a medical office environment. Involves frequent interaction with staff and physicians.
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