Infusion Financial Advocate

Job Details

Job Description

The Financial Counselor Oncology is responsible for meeting with patients and communicating insurance benefits and out-of-pocket responsibilities to develop appropriate financial plans. This role provides direct support for patients receiving outpatient oncology and infusion services. The Financial Counselor assists in completing all patient assistance and drug copay programs including copay foundation applications to secure external eligibility and internal financial support. When necessary the counselor also facilitates and submits Medical Assistance applications (including Adult Category Healthy Horizons BCCPT Emergency Medical Assistance and MAWD) to help ensure uninterrupted access to treatment.

Essential Functions

• Demonstrates strong knowledge of healthcare insurance particularly Medicare and Medicaid and understands hospital and physician claims insurance payments and patient financial responsibility.
• Manages all aspects of Oncology Patient Assistance Programs including enrollment submitting claims after insurance payments and staying current with program and insurance policy changes.
• Communicate effectively with the Medical Oncology team and leadership to resolve issues related to verification registration and benefit coordination ensuring timely solutions.
• Maintains strong technical skills particularly in Microsoft Excel and can navigate multiple systems to track and manage patient financial assistance efficiently.
• Ensure compliance with payer requirements HIPAA regulations and internal protocols while consistently demonstrating professionalism and the hospitals core values in all interactions.

Competencies (Knowledge Skills and Abilities Required):

• Thorough understanding of healthcare insurance plans including Medicare Medicaid and commercial payers with the ability to interpret benefit structures and patient responsibilities.
• Proficiency in Oncology Patient Assistance Programs including enrollment processes copay card applications foundation support and manufacturer-sponsored programs.
• Knowledge of state and federal financial assistance programs including Medical Assistance categories (Adult Healthy Horizons BCCPT Emergency MA MAWD) with the ability to complete and submit applications accurately.
• Ability to analyze hospital and physician claims to determine patient responsibility and assist with post-insurance financial support through available programs.
• Strong computer skills including Microsoft Excel electronic medical records (EMR) and payer portals; comfortable navigating multiple systems simultaneously.
• Exceptional communication and interpersonal skills with the ability to clearly explain complex financial and insurance information to patients and collaborate with clinical and administrative teams.
• Highly organized and detail-oriented with the ability to prioritize multiple tasks in a high-volume time-sensitive environment.
• Professional patient-centered approach maintaining empathy and discretion when handling sensitive patient financial concerns.
• Adaptability and problem-solving ability particularly in navigating evolving payer policies and financial assistance guidelines.
• Commitment to organizational values maintaining respectful and effective interactions with patients families co-workers and external partners.

Minimum Education and Experience Requirements:

Education:

High School diploma or GED required.

Associates degree in Business/Healthcare preferred. Work experience may be considered in lieu of the Associates degree.

Work Shift

Worker Sub Type

Employee Entity

Primary Location Address

Nationally ranked Jefferson which is principally located in the greater Philadelphia region Lehigh Valley and Northeastern Pennsylvania and southern New Jersey is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65000 people strong dedicated to providing the highest-quality compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrows professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic clinical and applied research. Thomas Jefferson University home of Sidney Kimmel Medical College Jefferson College of Nursing and the Kanbar College of Design Engineering and Commerce dates back to 1824 and today comprises 10 colleges and three schools offering 200 undergraduate and graduate programs to more than 8300 students. Jefferson Health nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age race color religion creed sexual orientation gender gender identity marital status pregnancy national origin ancestry citizenship military status veteran status handicap or disability or any other protected group or status.

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues including medical (including prescription) supplemental insurance dental vision life and AD&D insurance short- and long-term disability flexible spending accounts retirement plans tuition assistance as well as voluntary benefits which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues including those who work less than part-time(including per diemcolleagues adjunct faculty and Jeff Temps) have access to medical (including prescription) insurance.

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