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Financial Counselor USMD Oncology Henderson Street

UnitedHealth Group

This is a Full-time position in Joshua, TX posted June 9, 2021.

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm)

Provide support for the Medical Oncology service line which includes, evaluation and coordination of patient assistance programs, coordination and scheduling of patients for financial interviews and financial counseling.  Interfaces with insurance plans for benefit limits and patient’s estimated out of pocket expense. Serves as a liaison related to patient billing disputes; charity care applications and eligibility; and departmental policies and procedures. Obtains pre-certifications and authorizations for treatments ordered by medical oncology included chemotherapy, radiology services, biopsies, etc. Works closing with billing company to ensure timely claim and account follow-up.

Primary Responsibilities:

  • Daily scheduled and unscheduled meetings with patients to include new patients for the purpose of discussing coverage, benefits, if there is a need for assistance or to set up payment plans
  • Assist patients with insurance questions or denials
  • Coordinate with the patient, physician, insurance company, and hospital on the complete pre-certification / authorization process
  • Make and answer telephone calls from patients and insurance companies regarding the pre-certification / authorization process
  • Discuss payment arrangements with patients for outstanding patient balances
  • Assess patient need for outside assistance with medical care payments and if so, what programs might be available for individual patients, i.e. pharmaceutical, copay assistance, etc.
  • Establish payment arrangements with the patient and document appropriately in the practice management system co-insurance assistance, etc.
  • Review patient chemotherapy protocols and determine insurance benefits and patient responsibility
  • Work with billing company on denied, no authorization, no referral claims, and provides feedback and follow up to clinical areas
  • Verify eligibility and benefits for all new patients and existing patients receiving treatment
  • Properly document appropriate information in the patient’s EMR
  • Process additional information requests and coordinate requests for letters of medical necessity from and to insurance companies
  • Direct day to day contact with Providers to assure treatments are approved before administering
  • Performs all other related duties as assigned

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • High school diploma or GED
  • 2+ years of experience in insurance operations and/or back office Medical Oncology practice experience
  • This position requires Tuberculosis screening as well as proof of immunity to Measles, Mumps, Rubella, Varicella, Tetanus, Diphtheria, and Pertussis through lab confirmation of immunity, documented evidence of vaccination, or a doctor’s diagnosis of disease
  • You will be provisioned with appropriate Personal Protective Equipment (PPE) and are required to perform this role with patients and members on site, as this is an essential function of this role
  • Employees are required to screen for symptoms using the ProtectWell mobile app, Interactive VoiceResponse (i.e., entering your symptoms via phone system) or a similar UnitedHealth Group approved symptom screener prior to entering the work site each day, in order to keep our work sites safe. Employees must comply with any state and local masking orders. In addition, when in a UnitedHealth Group building, employees are expected to wear a mask in areas where physical distancing cannot be attained

Preferred Qualifications:

  • Solid communication skills and problem solving
  • Ability to compassionately work with patients who are often frustrated and/or overwhelmed by medical cost
  • Ability to effectively work with physicians, other medical staff and patients
  • Ability to multitask and have the ability to prioritize tasks

Physical & Mental Requirements:

  • Ability to lift up to 25 pounds
  • Ability to push or pull heavy objects using up to 50 pounds of force
  • Ability to sit for extended periods of time
  • Ability to stand for extended periods of time
  • Ability to use fine motor skills to operate office equipment and / or machinery
  • Ability to receive and comprehend instructions verbally and / or in writing
  • Ability to use logical reasoning for simple and complex problem solving

Careers with WellMed. Our focus is simple. We’re innovators in preventative health care, striving to change the face of health care for seniors. We’re impacting 550,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We’ve joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life’s best work.(sm)

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. 

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: Financial Counselor, oncology, USMD, Cleburne, TX, Texas

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