Financial Counselor

Carolina Oncology Specialists has been caring for patients in Catawba County since 1983, offering patients high quality, personalized healthcare close to their own home so patients and caregivers don’t have to travel far for excellent care. Our patients experience the convenience of in-clinic chemotherapy treatments, as well as the treatment and management of blood disorders.

Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.

Job Description

Job Title: Financial Counselor

Department: Revenue Cycle Management

Location: Carolina Oncology Specialists

Reports To: Certification/Authorization Manager

Position Summary

The Financial Counselor is responsible for guiding patients through the financial aspects of their oncology care, including insurance coverage, out-of-pocket costs, and payment options. This role provides compassionate, patient-centered support while ensuring accurate financial counseling, timely collections, and compliance with regulatory and payer requirements.

Key Responsibilities

• Provide financial counseling to patients regarding insurance benefits, coverage limitations, and estimated out-of-pocket costs for oncology services
• Verify insurance eligibility and benefits, including Medicare, Medicaid, and commercial plans
• Educate patients on financial responsibility , available payment options, and organization policies
• Assist patients in applying for financial assistance programs, charity care, co-pay assistance , and foundation support
• Obtain necessary financial agreements, authorizations, and upfront payments when applicable
• Collaborate with clinical, scheduling, and billing teams to ensure timely and accurate financial clearance prior to services
• Serve as a liaison between patients, insurance companies, and external assistance organizations
• Monitor patient accounts for outstanding balances and follow up as appropriate
• Maintain accurate documentation of all financial discussions in the electronic health record (EHR) and/or practice management system
• Ensure compliance with federal, state, and organizational regulations related to billing and patient financial services
• Identify barriers to payment and escalate concerns or trends to leadership

Qualifications

Required

• High school diploma or equivalent
• Minimum of 2–3 years of experience in healthcare financial counseling, medical billing, or revenue cycle operations
• Knowledge of insurance plans, including Medicare, Medicaid, and commercial payers
• Strong understanding of patient financial responsibility and collections processes
• Experience with EHR and practice management systems
• Excellent communication and customer service skills

Preferred

• Experience in oncology or specialty healthcare setting
• Knowledge of financial assistance programs, co-pay cards, and foundations specific to oncology care
• Certification in healthcare financial services or revenue cycle (e.g., CHAA, CRCS, or similar)

Key Competencies

• Empathy and compassion when working with patients in sensitive situations
• Strong communication and interpersonal skills
• Attention to detail and accuracy
• Ability to manage multiple priorities in a fast-paced environment
• Problem-solving and critical thinking
• Patient-centered and service-oriented mindset

Working Conditions

• Primarily office-based or clinic environment
• Frequent interaction with patients, caregivers, and staff
• Regular use of computers, phones, and healthcare systems

Physical Requirements

• Ability to sit for extended periods
• Ability to use standard office equipment, including computers and telephones