What are the responsibilities and job description for the Financial Counselor - Infusion position at Vancouver Clinic?

Responsible for insurance verification and eligibility.

Will obtain authorization for non-chemo infusions and counsel patients on insurance benefits and co-payments.

Will creates a written financial outline of benefits and potential out of pocket costs.

Works closely with Infusion Clinic staff to facilitate timely scheduling of treatments and maintenance of future appointments. Schedule : Mon - Fri 8am to 5pm, will be on site at the office. Hiring Range : $21.20 / hour to $28.00 / hour, commensurate with applicable professional experience. ESSENTIAL FUNCTIONS and RESPONSIBILITIES :

Ensures all insurance and eligibility information is verified and an authorization obtained prior to scheduling infusions for all patients.
Verify on the first business day of each month all commercial, Medicaid insurance.
Re-verify all insurance eligibility benefits on an annual basis at the beginning of each year.
Performs insurance verification process on all third party payers.

Obtains initial and subsequent preauthorization for services.

Ensures completeness of authorization request by confirming ICD,10, CPT, and HCPC codes are indicated for prescribed treatment, and sufficient medical information is provided to make a correct authorization determination.

Communicates with providers to gather any required documentation.

Reviews new orders in EMR from providers.

Obtains benefits / authorization and accurately enters authorization into system.

Schedule patients for Infusion once authorized.

Communicates with Clinic Manager when there are issues with authorization : i.e., medication not approved for indication, approval delayed due to pending insurance issues.

Performs financial counseling process for patients.

Provides Business Office contact information as needed.

Facilitates application for patient co-pay assistance programs as and assists with completion of forms.

Review of schedules are done on a daily basis to check for current authorization, updated as needed.

Interfaces regularly with account rep specialist in CBO on insurance, billing and reimbursement.

Demonstrates an understanding for patient confidentiality to protect the patient and the clinic / corporation.

Maintains the follow-up work queue to locate patients that have cancelled, no show, or were cancelled by others in order to reschedule appointments

Answer questions from billing office regarding enrollment and AOB forms

Tracks patient assistance and re-enrolls patients when needed

Answer patient assistance and re-enrolls patients when needed

Answer patient questions regarding billing and co-pay assistance.

Communicates concerns to business office

Identifies and resolves patient, provider, department, and insurance company concerns, requests, and problems related to referral issues

Maintain several worklists including Patient Drug Breakdown, monthly infusion appointments, pending review, ready to schedule, needs review, ect.

Performs additional tasks as assigned by Clinic Manager.

Follows policies and procedures to contribute to the efficiency of the Infusion Center.

Keeps updated with web casts, conferences, etc., on most recent changes / updates, including but not limited to : coding, insurances, CMS guidelines. SKILLS AND ABILITIES :

Problem solving skills.

Ability to effectively communicate with compassion in a stressful and emotional environment.

Proven ability for processing accuracy and attention to detail.

Ability to work well with others and follow managerial direction.

Professional manner and appearance.

Strong verbal and written communication skills, including medical terminology.

Proficient keyboard skills.

Ability to work with moderate direction and complete tasks and assignments in atimely and accurate manner.

Ability to quickly adjust to changing projects and priorities. EDUCATION AND EXPERIENCE :

High school diploma or equivalent required.

One (1) year of medical terminology and / or ICD-10, CPT, HCPC coding experience preferred.

Two-years of financial counseling experience in a healthcare setting strongly preferred.

Experience with and knowledge of patient assistance programs, insurance plans, and criteria for infusion treatments preferred. Pay Range : $20.76 - $29.06 The above information is intended to indicate the general nature and level of work required in this position.

It is not designed to contain or be interpreted as a comprehensive description of all duties, responsibilities, and qualifications required of those assigned to this job. We offer a competitive Total Rewards Program.

Eligibility for benefits is dependent on factors such as position type and FTE.

Benefit-eligible employees qualify for benefits beginning on the first of the month following one month of employment.

Vancouver Clinic offers medical, dental, vision, life insurance, AD&D, long term disability, health savings account, flexible spending account, employee assistance program, and multiple supplemental benefits (voluntary life, critical illness, accident, hospital indemnity, identity theft protection, legal services, etc.).

We also offer a 401k retirement plan, with employer contributions after your first year of employment.

Benefits-eligible employees accrue PTO and Personal Time based on hours worked and State worked, totaling 120 hours in the first year for full time staff and 200 hours in the first year for full time supervisors and above, increasing in subsequent years.

PTO and Personal Time accruals are pro-rated by FTE / hours worked.

Non-benefits eligible employees will accrue Personal Time based on hours worked and State worked.

Employees will also enjoy up to six paid holidays per year, depending on schedule.

Contact your recruiter for more information. Vancouver Clinic is proud to be an Equal Opportunity Employer.

Vancouver Clinic does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, gender identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. Vancouver Clinic is an alcohol and drug-free workplace.

Offers are contingent on successful completion of background screen and immunization requirements.

Salary : $21 - $29

Apply for this job

Receive alerts for other Financial Counselor - Infusion job openings

Financial Counselor - Infusion

What are the responsibilities and job description for the Financial Counselor - Infusion position at Vancouver Clinic?

What is the career path for a Financial Counselor - Infusion?

Job openings at Vancouver Clinic

Not the job you're looking for? Here are some other Financial Counselor - Infusion jobs in the Vancouver, WA area that may be a better fit.

We don't have any other Financial Counselor - Infusion jobs in the Vancouver, WA area right now.

AI Assistant is available now!