Oncology Finance Advocate at St. Luke's University Health Network in Sellersville, PA - 915 Lawn Ave

Job description

• The Oncology Finance Advocate supports the cancer center advocacy programs and financial counseling. This position will work in collaboration with other treatment team members to provide support to patients and the cancer center program

Responsibilities

• Outreach all new patients via infusion and radiation DAR, provide introduction, overview of possible financial burden associated with cancer care, and all supports available to help reduce the finance burden.
• Assist appropriate patients and families to explore options for financial assistance for medical services.
• Assist with optimizing insurance coverage. Provide information for Medicaid application process and Insurance Marketplace. Navigate patients during open enrollment season.
• Follow up with appropriate patients and families for financial assistance needs.
• Obtain necessary insurance information for patients, updated insurance, and run RTE.
• Answer questions or directs patients to appropriate staff members for questions regarding insurance, billing questions, financial assistance, payment/payment plans, quotes, copayment assistance, insurance optimization, and insurance navigation.
• Meet with patients to discuss estimated costs of therapies in-person and via phone as needed.
• Refer patients to third party supportive services including Co-payment assistance, Free drug, Replacement drug, and Foundation funds. Complete documents either via phone or in-person.
• Submit claims for reimbursement from foundation and co-payment cards for payment of outstanding balances for hospital-based services. Making sure that payment is posted to correct HAR and line item for accurate payment posting and remaining patient balance.
• Verify patient insurance eligibility either by RTE/Navient/Availity or calling insurance
• Work with infusion auth and infusion pharmacy to make sure that replacement/upfront drug is on track for upcoming infusion appointments.
• Perform other duties and responsibilities as assigned.

Requirements

• Associate degree in healthcare related field required.
• Bachelor’s degree in Social Work or Healthcare related field preferred.
• Minimum of three years’ experience in an acute care oncology setting required.
• Minimum of two years of oncology finance experience in financial counseling, free medication program, grants, and development funds required.

Skills

Required

• Financial counseling
• Knowledge of insurance coverage
• Medicaid application process
• Insurance Marketplace
• RTE
• Navient
• Availity
• Claims submission
• Patient communication
• Collaboration with treatment team