Financial Counselor
Job Summary UCSF Cancer Care San Mateo belongs to the Helen Diller Family Comprehensive Cancer Center and services patients receiving Infusion Services and Cancer Services (both oncology and hematology). The Financial Counselor is responsible for all spectrums of screening and assessment of insurance coverage including financial toxicity risk level, facilitates the self-pay workflow, supports off-label treatment authorization, navigates patient and drug assistance programs with patients through the treatment process, and maintains practices and processes that support the financial health of the organization.
Primary responsibilities include 1) verifying insurance eligibility and benefits, 2) verifying demographic, financial, and clinical information relevant to the appropriate service of the patient, (3) assessing for financial toxicity and screening patients for eligibility and enrolling patients on to applicable patient assistance programs, work closely with providers and pharmacists in assessing alternative treatments as appropriate to clinical indication; (4) responsible for developing and maintaining expert knowledge of Medicare and insurance requirements, (5) providing cost estimates and ensure patients complete the financial process before treatment. 6) managing requests for information (RFIs) that arise from denials. The annual salary range for this position is $63,700-$136,100, with a target entry point starting at $88,030+, depending on experience. To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html Department Description The Infusion Center Central Authorization and Cancer Center Business Unit services patients from Cancer Infusion Services and Cancer Practices at the Helen Diller Family Comprehensive Cancer Center. Required Qualifications
- Bachelor's degree in a related area or four years of equivalent experience/training AND a minimum of three years of relevant work experience
- Strong knowledge of billing and/or collections processes, concepts, systems, and external regulations. Knowledge of medical terminology and coding.
- Strong knowledge of the regulations and confidentiality issues involved in the revenue side of medical care, including private and government insurance, self-pay, collections, and reporting and data management.
- Strong analytical skills to produce comprehensive reports, and identify trends and variations.
- Strong interpersonal and customer service skills to work effectively with all parties to the billing and collection process, and to productively negotiate terms for successful resolution of outstanding accounts and problems. Ability to communicate with patients under challenging circumstances on sensitive financial topics.
- Strong ability to provide recommendations on issues of functionality and operations in billing. Ability to serve as a resource, providing expertise and education to staff and management at all levels.
- Strong computer proficiency in all relevant hardware and software, with a knowledge of spreadsheet and accounting applications, and a variety of specialized billing and insurance systems.
- Knowledge of patient assistance programs that assist in minimizing the financial toxicity of cancer care and treatment. Ability to access, research, and apply knowledge to serve our patient population while maintaining the financial health of the organization.
- Solid interpersonal skills for effective information exchange and problem-solving with all levels of management and staff, consultants, and outside agencies.
Preferred Qualifications n/a About UCSF At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what's possible for the patients we serve - a promise we share with the professionals who make up our team.
Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report - UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents. Pride Values UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence - also known as our PRIDE values.
In addition to our PRIDE values, UCSF is committed to equity - both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at diversity.ucsf.edu
Join us to find a rewarding career contributing to improving healthcare worldwide. Equal Employment Opportunity The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Job Code and Payroll Title 004543 PAT BILL AND COLL REPR 3 Job Category Accounting / Finance, Administrative Support, Financial, Professional (Non-Clinical), Support Services Bargaining Unit 99 - Policy-Covered (No Bargaining Unit) Location Burlingame, CA, San Mateo, CA Campus P.O.P.C. Peninsula Outpatient Surgery Center, Various Work Sites |
University of California - San Francisco Campus and Health
Jan 22, 2025