American Oncology Network
Job Description Summary
A Financial Counselor serves as the liaison between the patient and the practice by coordinating payments, providing assistance, monitoring patient balances, and streamlining communication regarding the financial responsibilities of our patients. This role performs quality control for pre‑certification and prior authorization, ensuring patients’ insurance benefits remain up-to-date in the electronic medical records (EMR) and billing software while verifying that services meet insurance coverage appropriateness.
Location:
Hope Cancer Care of Nevada
Pay Range:
$17.93 - $29.89
Primary Job Duties & Responsibilities
Monitors and coordinates internally and externally with insurance companies on pre‑certification and prior authorization processes, including peer‑to‑peer and appeals, seeking support from provider or pharmacy teams when applicable.
Reviews assigned patient(s) and physician schedules for upcoming visits and treatment to establish patient financial responsibility.
Reviews patients’ treatment plans and identifies whether insurance benefit coverage is active and remaining fiscal responsibility; communicates all unplanned exceptions to the provider immediately.
Identifies new treatment orders, generates an estimate of service, and reviews it with the patient while explaining insurance benefits and fiscal responsibility.
Obtains necessary information from patients for assistance income guidelines, when applicable.
Reviews patient aging balances and establishes proper arrangements with patients to address outstanding balances.
Explains required forms and paperwork such as waivers, treatment estimates, payment plans, and assistance applications.
Maintains open and routine communication throughout the workday with providers, nursing staff, PSS staff, UM team, and coworkers via Teams, phone, email, and in person.
Works closely with outside entities to ensure full collaboration and timely completion of forms and required items.
Assists patients with completing necessary paperwork for assistance and grant‑funded programs to secure financial aid for treatment and services.
Understands patient assistance programs and grant services processes to ensure adequate application, placement, and coordination with the financial aid counseling team.
Complies with all federal and state laws and regulations related to patient care, rights, safety, billing, and collections.
Will be expected to work overtime with sufficient notice of required overtime.
Keeps the work area and records neat and orderly.
Maintains all company equipment in safe and working order.
Adheres to all AON and departmental policies and procedures, including revenue cycle policies and procedures.
Performs other duties and projects as assigned.
Job Qualifications And Requirements
Education:
High school diploma or GED required; additional education or a degree is a plus.
Previous Experience:
Minimum of two years prior experience in the healthcare field, preferably in a clinical or business office setting.
Prior healthcare customer service experience.
Prior medical terminology knowledge.
Prior medical insurance verification experience.
Prior verifying pre‑certification and/or prior authorization with medical insurance.
Excellent verbal and communication skills.
Proven knowledge of medical terminology, ICD‑9, ICD‑10, and CPT codes.
Experience with cash handling and monetary collection.
Ability to calculate and collect patients’ responsibility and insurance co‑pay/coinsurance.
Core Capabilities:
Analysis & critical thinking: problem solving, analysis, decision‑making, time management, and organizational skills; detail oriented with independent judgment.
Interpersonal effectiveness: emotional intelligence, diplomacy, conflict management, delegation, diversity awareness, and handling confidential or emotionally charged matters.
Communication skills: command of English language; second language is an asset. Oral, written, presentation, active listening, balanced feedback.
Customer service & organizational awareness: strong customer focus, quality culture, performance effectiveness, operational excellence, collaboration, partnerships, and positive relations with staff and community.
Self‑management: manages own time, priorities, stress, and professional development; self‑motivated, works independently with limited supervision; can work remotely if required.
Adaptability: works effectively in a fast‑paced, multi‑site environment with competing priorities and stakeholders.
Computer skills: proficiency with MS Office Word, Excel, Power Point, Outlook; ability to use multiple screens; navigation between multiple applications and workflows.
Other Requirements
Travel: 0%
Standard core workdays/hours: Monday to Friday, 8:00 AM – 5:00 PM.
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A Financial Counselor serves as the liaison between the patient and the practice by coordinating payments, providing assistance, monitoring patient balances, and streamlining communication regarding the financial responsibilities of our patients. This role performs quality control for pre‑certification and prior authorization, ensuring patients’ insurance benefits remain up-to-date in the electronic medical records (EMR) and billing software while verifying that services meet insurance coverage appropriateness.
Location:
Hope Cancer Care of Nevada
Pay Range:
$17.93 - $29.89
Primary Job Duties & Responsibilities
Monitors and coordinates internally and externally with insurance companies on pre‑certification and prior authorization processes, including peer‑to‑peer and appeals, seeking support from provider or pharmacy teams when applicable.
Reviews assigned patient(s) and physician schedules for upcoming visits and treatment to establish patient financial responsibility.
Reviews patients’ treatment plans and identifies whether insurance benefit coverage is active and remaining fiscal responsibility; communicates all unplanned exceptions to the provider immediately.
Identifies new treatment orders, generates an estimate of service, and reviews it with the patient while explaining insurance benefits and fiscal responsibility.
Obtains necessary information from patients for assistance income guidelines, when applicable.
Reviews patient aging balances and establishes proper arrangements with patients to address outstanding balances.
Explains required forms and paperwork such as waivers, treatment estimates, payment plans, and assistance applications.
Maintains open and routine communication throughout the workday with providers, nursing staff, PSS staff, UM team, and coworkers via Teams, phone, email, and in person.
Works closely with outside entities to ensure full collaboration and timely completion of forms and required items.
Assists patients with completing necessary paperwork for assistance and grant‑funded programs to secure financial aid for treatment and services.
Understands patient assistance programs and grant services processes to ensure adequate application, placement, and coordination with the financial aid counseling team.
Complies with all federal and state laws and regulations related to patient care, rights, safety, billing, and collections.
Will be expected to work overtime with sufficient notice of required overtime.
Keeps the work area and records neat and orderly.
Maintains all company equipment in safe and working order.
Adheres to all AON and departmental policies and procedures, including revenue cycle policies and procedures.
Performs other duties and projects as assigned.
Job Qualifications And Requirements
Education:
High school diploma or GED required; additional education or a degree is a plus.
Previous Experience:
Minimum of two years prior experience in the healthcare field, preferably in a clinical or business office setting.
Prior healthcare customer service experience.
Prior medical terminology knowledge.
Prior medical insurance verification experience.
Prior verifying pre‑certification and/or prior authorization with medical insurance.
Excellent verbal and communication skills.
Proven knowledge of medical terminology, ICD‑9, ICD‑10, and CPT codes.
Experience with cash handling and monetary collection.
Ability to calculate and collect patients’ responsibility and insurance co‑pay/coinsurance.
Core Capabilities:
Analysis & critical thinking: problem solving, analysis, decision‑making, time management, and organizational skills; detail oriented with independent judgment.
Interpersonal effectiveness: emotional intelligence, diplomacy, conflict management, delegation, diversity awareness, and handling confidential or emotionally charged matters.
Communication skills: command of English language; second language is an asset. Oral, written, presentation, active listening, balanced feedback.
Customer service & organizational awareness: strong customer focus, quality culture, performance effectiveness, operational excellence, collaboration, partnerships, and positive relations with staff and community.
Self‑management: manages own time, priorities, stress, and professional development; self‑motivated, works independently with limited supervision; can work remotely if required.
Adaptability: works effectively in a fast‑paced, multi‑site environment with competing priorities and stakeholders.
Computer skills: proficiency with MS Office Word, Excel, Power Point, Outlook; ability to use multiple screens; navigation between multiple applications and workflows.
Other Requirements
Travel: 0%
Standard core workdays/hours: Monday to Friday, 8:00 AM – 5:00 PM.
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