Patient Financial Advocate

    • Job Tracking ID: 512708-788634
    • Job Location: Topsham, ME
    • Job Level: Mid Career (2+ years)
    • Level of Education: High School/GED
    • Job Type: Full-Time/Regular
    • Date Updated: September 07, 2021
    • Years of Experience: 2 - 5 Years
    • Starting Date: ASAP
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Job Description:

New England Cancer Specialists (NECS) is seeking a full-time Monday-Friday 40 hr/week Patient Financial Advocate to join our clinic team in Topsham, ME. NECS’s Financial Advocates are the point of contact for patients with questions and concerns regarding covering the cost of their care and are an integral part of our whole patient model. Financial Advocates will work with clinical teams, and the pharmacy to estimate the cost of complex therapies and provide counseling to patients and their families regarding covered services and financial needs. They also work as a liaison between patients and various assistance organizations for assistance and in completing any necessary documentation needed for approval.

This position will be a hybrid position with a mix of remote at-home and onsite in-person work in our Topsham Clinic required. The successful candidate will need to be capable of being on-site multiple times per week.

NECS is a private medical practice composed of 13 oncologists and hematologists serving the region from 5 different locations in Maine and New Hampshire. Our mission is to make life better for people with cancer and blood disorders. Kindness, compassion, and respect are part of everything that we do - from our phone operators to our physicians, every person on our team is important, and everyone makes a difference. We are proud to be an adult oncology member of the Dana-Farber Cancer Care Collaborative, striving to provide the highest quality care and unmatched, holistic support for every patient, every day.

Job Duties:

  • Reviews all insurance and financial information for assigned patients.
  • Contact insurance companies to verify medical benefits and obtain authorizations when necessary.
  • Estimate patient’s out-of-pocket responsibility and communicate to all assigned patients per NECS guidelines.
  • Check to ensure diagnosis supports procedure ordered.
  • Complete applications for drug replacement programs and process renewals as needed.
  • Track and balance free drug received monthly.
  • Screen patients for food insecurity and provide aid if eligible as well as track assistance.
  • Acts as a liaison between the patient or a family member and various general assistance representatives to complete required paperwork for assistance approval.
  • Work with nurses and physicians to estimate the cost of patient care plans and communicate to patients and families. Determine the patients' ability to pay.
  • Research assistance programs and assists patients and family members with the completion of all paperwork required to obtain assistance.
  • Establish payment plans and coordinate with the billing office.
  • Collaborate with billing office on outstanding patient balances, working the monthly patient balance report, and performing collection activities.
  • Assist the billing office in the claims appeal process when necessary.
  • Ensure and maintain confidentiality, privacy, and compliance of patients’ rights per HIPPA regulations and practice policies.
  • Adhere to all Company policies and procedures
  • Perform other duties as assigned.

Travel: This position is a hybrid remote/onsite position in Topsham, ME. Infrequent travel to other clinic locations may be needed for coverage and meeting purposes.

Experience and Skills:

  • High School Diploma or equivalent, Associates or Bachelors degree preferred.
  • Knowledge of medical terminology required; oncology experience desired.
  • Minimum of 2years of financial experience in a healthcare setting.
  • Able to demonstrate full knowledge of insurance financial terms (i.e. copay, co-insurance, stop loss, etc.)
  • Able to interpret patients’ insurance benefits and estimate patients’ out-of-pocket responsibilities.
  • Must be comfortable discussing with patients his/her out-of-pocket expenses and asking for full payment or deposit.
  • Strong problem-solving skills including the ability to think creatively.
  • Robust organizational skills and be able to manage multiple tasks at the same time
  • Ability to operate with a sense of urgency to meet deadlines to ensure patient treatment
  • Ability to remain calm during high-pressure, high-emotional situations
  • Self-starter with the ability to work independently as well as part of a team, with strong customer service and communication skills, both written and verbal

Benefits

New England Cancer Specialists offers competitive pay and a comprehensive benefits package to our employees.  Our benefits include medical, prescription, dental, and vision insurances.  Company-paid Life Insurance, Short Term, and Long-Term disability insurances.  Other benefits include a retirement program, voluntary benefits, and a generous Paid Time Off in addition to 10 Company-paid holidays. NECS will pay for national certification and society memberships.  


Equal Employment Opportunity Policy

New England Cancer Specialists provides equal employment and promotional opportunity to all qualified employees and applicants, on the basis of experience, knowledge, training, education, ability to perform the essential functions of a position, and overall performance. All employment and promotional opportunities will be conducted in a lawful basis without regard to an individual’s race, gender, age, religion, national origin, ancestry, color, physical or mental disabilities, sexual orientation, marital status, veteran status, or other characteristic protected under Federal, State, or local law.

If you need assistance in the application or hiring process to accommodate a disability, you may request an accommodation at any time by contacting Human Resources at (207) 303-3372 or email us at jobs@newecs.org.