Financial Advocate-Oncology

Overview

.

Responsibilities

Serves as front-line support for the oncology-related services within Piedmont Healthcare. Reviews account for oncology-related services to ensure completeness prior to patient arrival. Prepares for patient visit(s) by verifying insurance coverage, confirming benefits, determining authorization requirements, initiating and obtaining pre-certification/prior authorization for recurring visits, and creating estimates to determine pre-service patient liability. Reviews treatment and therapy plans, confirms frequency/length as needed, verifies orders with administration, and pulls additional clinical information from required information systems to support accurate financial clearance. In addition, the Financial Advocate helps reduce barriers to timely oncology care by identifying financial risk/financial distress, educating patients on coverage and expected out-of-pocket responsibility, providing information on financial resources to patients/guarantors, and coordinating referrals to appropriate internal and external support resources.

Qualifications

Education

• H.S. Diploma or General Education Degree (GED) Required
• Bachelor’s Degree from a recognized college or university Preferred

Work Experience

• 3 years experience in Rev Cycle or related exp in healthcare, with one of those years working specifically within Healthcare Revenue Cycle Required
• 4 years healthcare Revenue Cycle experience preferred. HFMA certification and/or Certified Revenue Cycle Representative Preferred
• Prior Epic experience Preferred
• Previous experience in the oncology setting Preferred
• Experience providing culturally sensitive support and coordinating resources for patients with complex barriers to care. Preferred
• Experience with validating NCCN guidelines Preferred

Licenses and Certifications

• None Required

Business Unit : Company Name

Piedmont Healthcare Corporate