Financial Counselor

NYU Langone Health is a fully integrated health system that consistently achieves the best patient outcomes through a rigorous focus on quality that has resulted in some of the lowest mortality rates in the nation. Vizient Inc. has ranked NYU Langone the No. 1 comprehensive academic medical center in the country for three years in a row, and U.S. News & World Report recently placed nine of its clinical specialties among the top five in the nation.

NYU Langone offers a comprehensive range of medical services with one high standard of care across 6 inpatient locations, its Perlmutter Cancer Center, and over 320 outpatient locations in the New York area and Florida. With $14.2 billion in revenue this year, the system also includes two tuition‑free medical schools, in Manhattan and on Long Island, and a vast research enterprise with over $1 billion in active awards from the National Institutes of Health.

For more information, go to NYU Langone Health, and interact with us on Linked In, Glassdoor, Indeed, Facebook, X, You Tube and Instagram.

We have an exciting opportunity to join our team as a Financial Counselor. In this role, the successful candidate Under minimal supervision, ability to work independently. Is a patient advocate on behalf of patient and family to investigate with payers and meet with patient to educate on treatment benefits and financial responsibilities. Identifies and determines in accordance with established policies and procedures the accuracy and completeness of financial, insurance and/or demographic information for these treatment patients at the Perlmutter Cancer Center locations.

Investigates and reviews the accuracy and completeness of insurance information by reviewing accounts as they appear on the Appointment Schedule and Worklist. Obtain all necessary payer requirements for obtaining Chemotherapy and Radiation Treatment referrals, authorizations and/or pre-certifications. TFC is responsible for assuring that patients have adequate insurance benefits or funding for treatment patients.

• Maintains status on a daily, weekly, and monthly basis as applicable based upon course of treatment and authorization criteria for patients appearing on the DAR as scheduled. TFC is required to remain anywhere from one week at a minimum to 30 days out on their DAR as established by management and continually updating pending clearances and authorizations prior to treatment
• A variety of functions and responsibilities related to insurance verification and processing prior to and/or after discharge of patient, which includes:
• Obtain detailed benefit information for all aspects of the treatment process including insurance verification. Obtains referrals, authorizations/precertification when applicable. Is responsible for maintaining the accuracy and continual review of current authorizations and re-authorizes as needed.
• Researches and obtains all insurance plans and confirms patient benefit eligibility, including patient liabilities, clauses, riders and payers, and secondary payer information and coordination of benefits.
• Reviews and interprets insurance pre‑authorization requirements. Ensures proper pre‑authorizations havebeen obtained. Completes on‑line operations for specific payers to complete the pre‑certification process. Provides information to the appropriate HB and PB billing specialist to ensure accurate billing for current and future treatment services.
• Secures documentation of insurance liability via internal and external resources. Resolves discrepancies by contacting patients, family members, and employers. Also contacts Medicare, Medicaid, Medicaid Managed Care plans, Blue Cross, and all other PPO, EPO and HMO commercial carriers…