Financial Counselor - Supportive Oncology Services NEW Cancer Pavilion

📁
Clinical/Allied Health
📅
208162 Requisition #

Be part of a team whose mission is to deliver empathic and exceptional care to patients and their families every day at the Henry Ford Cancer Institute (HFCI).

Join us for the opportunity to work in the brand new, patient-centered HFCI-Detroit Cancer Pavilion with a team takes care of the patient, and takes care of one another, no matter what.

GENERAL SUMMARY: 

Navigating the finances of healthcare is an overwhelming endeavor. Financial Counselors (FCs) will help patients navigate and understand this arena, in so doing, will reduce stress around the financial responsibility of their episode of care. Under minimal supervision, FCs will review patient's financial state, counsel patients on their out of pocket cost for their treatment plan, advise on insurance optimization options, and connect patient to financial assistance programs available to them. FACs will also perform any medical necessity reviews for treatment, prior to treatment, and work closely with the central authorization team to ensure the coordination of the medical necessity and authorization process. Should denials occur, FCs will be the point person to work towards a solution with the clinical team and payer. FCs will be the point person for the clinical team regarding financial implications of their patient's care. FAs must be critical thinkers, who are skilled at problem solving and thinking through complex situations. 
 
PRINCIPLE DUTIES AND RESPONSIBILITIES: 
  • Council patients on financial impact of their acute care treatment. 
  • Research and provide an out of pocket cost estimate of the patient’s treatment plan. 
  • Research and provide alternative insurance options (insurance optimization) for the patient to reduce their out of pocket cost. 
  • Advise patients of available financial assistance, including but not limited to foundations, co-pay assistance and drug replacement programs, and assist families in the completion of applications. 
  • Serve as a liaison to submit applications for Medicaid, grants, etc. 
  • Serve as a liaison between healthcare provider and billing services in handling issues. 
  • Serve as a liaison between healthcare provider and insurance company. 
  • Oversees the contacting of insurance companies and referring physicians to obtain pre-certification of drug regimens and treatment (ex. chemotherapy).
  • Coordinates authorizations with the central authorization team. 
  • Conduct medical necessity reviews for treatment. 
  • Track and trend denials and appeals data. 
  • Submit appeals to insurance companies for denied services. 
  • Work closely with clinical team so that clinicians understand any financial barriers to care. 
  • Participate in process improvement work for the department.
EDUCATION/EXPERIENCE REQUIRED: 
  • Bachelor’s degree or five plus (5+) years of experience in related field required. 
  • Experience in healthcare billing or related field required. 
  • In-depth knowledge of health insurance required. 
  • Pharmacy Tech Experience preferred. 
  • Proficiency in EPIC applications such as Appointment Scheduling (all versions), Registrations, Work Queues and Referrals, is preferred. 
  • Customer service-oriented including the ability to interact professionally and handle sensitive information/issues in a confidential, respectful, assertive, and empathetic manner in difficult interpersonal situations. Acts in a manner that establishes positive rapport with patients, families, and public/private financial assistance programs. 
  • Ability to quickly assess and respond appropriately to emergency situations. Ability to comprehend medical terms. Analytical skills to resolve complex problems requiring the use of scientific, mathematical, or technical principles, and in-depth experience in multi-tasking. Ability to deliver consistent results and possess the drive to continually improve processes to benefit the patient and the hospital system. 
  • Ability to visually proofread typed work for errors. Ability to communicate via telephone to a variety of groups (patients, patients’ families, insurance companies, other departments, etc.). 
PREFERRED EXPERIENCE:
  • Experience with Oncology patients 

    Overview

       Under the leadership of President and CEO Wright L. Lassiter, III, Henry Ford Health System is a

       $6 billion integrated health system comprised of six hospitals, a health plan, and 250+ sites

       including medical centers, walk-in and urgent care clinics, pharmacy, eye care facilities and

       other healthcare retail. Established in 1915 by auto industry pioneer Henry Ford, the health system

       now has 32,000 employees and remains home to the 1,900-member Henry Ford Medical Group, one

       of the nation’s oldest physician groups. An additional 2,200 physicians are also affiliated with the

       health system through the Henry Ford Physician Network. Henry Ford is also one of the region’s  

       major academic medical centers, receiving between $90-$100 million in annual research funding and

       remaining Michigan’s fourth largest NIH-funded institution. Also an active participant in medical

       education and training, the health system has trained nearly 40% of physicians currently practicing

       in the state and also provides education and training for other health professionals including nurses,

       pharmacists, radiology and respiratory technicians. visit HenryFord.com.

     Benefits

       Whether it's offering a new medical option, helping you make healthier lifestyle choices or

       making the employee enrollment selection experience easier, it's all about choice.  Henry

       Ford Health System has a new approach for its employee benefits program - My Choice

       Rewards.  My Choice Rewards is a program as diverse as the people it serves.  There are

       dozens of options for all of our employees including compensation, benefits, work/life balance

       and learning - options that enhance your career and add value to your personal life.  As an

       employee you are provided access to Retirement Programs, an Employee Assistance Program

       (Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness,                 and a whole host of other benefits and services.  Employee's classified as contingent status are not         eligible for benefits.    

      Equal Employment Opportunity/Affirmative Action Employer

        Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is

        committed to the hiring, advancement and fair treatment of all individuals without regard to

        race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

        weight, marital status, family status, gender identity, sexual orientation, and genetic information,

        or any other protected status in accordance with applicable federal and state laws.

Previous Job Searches

My Profile

Create and manage profiles for future opportunities.

Go to Profile

My Submissions

Track your opportunities.

My Submissions

Similar Listings

Detroit, Michigan

📁 Clinical/Allied Health

Detroit, Michigan

📁 Clinical/Allied Health

Detroit, Michigan

📁 Clinical/Allied Health