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Billings Clinic Financial Counselor-Cancer Center in Billings, Montana

You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.

And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!

You can make a difference here.

About Us

Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital.Learn more ( about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.

Your Benefits

We provide a comprehensive and competitive benefits package to all permanent full-time employees (minimum of 24 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more.Click here ( for more information ordownload the Employee Benefits Guide ( .

Magnet: Commitment to Nursing Excellence

Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here ( to learn more!

Pre-Employment Requirements

All new employees must complete several pre-employment requirements prior to starting. Click here ( to learn more!

Financial Counselor-Cancer Center



Shift: Day

Employment Status: Full-Time (.75 or greater)

Hours per Pay Period: 1.00 = 80 hours (Non-Exempt)

Starting Wage DOE: $17.00 - 21.25

The Financial Counselor is the main financial contact for cancer outpatients without adequate financial resources. The Financial Counselor looks after the financial interests of the organization by securing sponsorship for patients unable to pay and collecting from patients able to pay. The Financial Counselor interacts with patients prior to service through financial counseling at the time of pre-registration and pre- treatment, at the time of services and after services through tracking of Medicaid, SSI, MCP, charity applications and telephone collections.

Essential Job Functions

• Supports and models behaviors consistent with the mission and philosophy of Billings Clinic and department/service.

• Performs customer service as the primary point of contact by providing assistance to cancer patient inquiries including account information, insurance billing issues (including pre-authorization or pre-certification), and quality of care issues as appropriate. Coordinates with other departments as appropriate and advises patients about the outcome. Participates as needed, and within established guidelines, in negotiation of discounts with customers, including patients, attorney and collection agencies.

• Coordinates financial counseling efforts with entities of Billings Clinic, other physician’s offices, other community health care providers and patients regarding insurance related information, procedures cost and charge estimates, insurance coverage issues, and options for patients without insurance.

• Performs financial counseling for self pay, commercial insurance, potential clinical research patients and all cancer patients as needed. Duties include interviews with patient and family members, identification of potential eligibility for SSI disability, Medicaid, MCP, charity, and promotion of bank note program. Secures financial informed consent when indicated.

• Coordinates with social workers, care navigators and case managers on an as needed basis regarding pre-certifications/authorizations and other financial aspects on the front end of the revenue cycle in order to impact discharge planning, Medicare denial and non-covered services letters, Medicare lifetime reserve election letters.

• Establishes and monitors payments plans per policy and procedures and renegotiates payment plan arrangements when new accounts are combined into the payment plan or patient’s circumstances change.

• Works with patient financial services department to manage self-pay account balances for transfer to bad debt and assignment to outside collection agencies.

• Utilizes performance improvement principles to assess and improve quality.

• Identifies needs and sets goals for own growth and development; meets mandatory organizational and departmental requirements.

• Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance.

• Performs other duties as assigned or needed to meet the needs of the department/organization.

Minimum Qualifications


• High School or GED

Other Minimum Qualifications

• Patient accounts or health care related collection experience, preferred

• Demonstrated bookkeeping skills

• Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered

Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more (

Billings Clinic is committed to the principles of Equal Employment Opportunity. All policies and processes are designed toward achieving fair and equitable treatment of all employees and job applicants. Employees are encouraged to discuss any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, creed, religion, national origin, gender, gender identity, sexual orientation, age, marital status, genetic information or disability.