Financial Counselor

Job Title: Financial Counselor 
Department: Revenue Cycle Management 
Location: Carolina Oncology Specialists Randolph Road Charlotte, NC
Reports To: Precertification/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 

• Access and enroll eligible patients into available financial assistance programs cand foundation grants 

• Manage and track claim submission to assistance programs for applicable services rendered 

• Obtain necessary financial agreements and upfront payments according to organization policies 

• 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