Patient Financial Counselor

OneOncology is positioning community oncologists to drive the future of cancer care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision.

Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of community oncologists and the patients they serve.

Job Description:

The Proton Therapy Financial Counselor is responsible for guiding Proton therapy patients through their financial journey, serving as their primary contact throughout the entire treatment process. This includes educating patients about their insurance coverage, explaining potential out-of-pocket costs, setting up payment arrangements, and discussing financial assistance options. The role plays a critical part in onboarding Proton therapy patients, collaborating with the clinical team, and ensuring accurate out-of-pocket assessments. This specialized position requires excellent communication skills to ensure patients understand their financial responsibilities in a compassionate and clear manner.  

ESSENTIAL FUNCTIONS: 

• Educate patients about their insurance coverage and benefits, including deductible, copay, coinsurance, and estimated out of pocket costs for Proton therapy and other standard radiation oncology treatments. 

• Review and interpret insurance policies, including ERISA regulations, to ensure compliance with the requirements for Proton therapy treatments. 

• Assess if patients’ insurance requires participation in the Cancer Registry to meet insurance conditions and clearly communicate this to the patient. 

• Determine the patient’s financial capacity to pay for treatment and communicate with the clinical team regarding feasibility of coverage for Proton therapy. 

• In cases where insurance coverage for Proton therapy is unlikely, prepare and send a detailed letter about the Expedited Care program, while personally contacting the patient to discuss options. 

• Stay current on Proton therapy coverage and policy guidelines to ensure patients are provided with precise information relating to the probability of coverage and potential cost of treatment. 

• Provide patients with an accurate comparison of coverage and out-of-pocket costs for traditional radiation therapy vs. Proton therapy. 

• Compile accurate patient estimates based on the ordered treatment modality, the patient’s insurance coverage, and any out-of-pocket thresholds. 

• Provid