Oncology Financial Coordinator

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Financial Coordinator with TriStar Centennial Medical Center you can be a part of an organization that is devoted to giving back! Job Summary And Qualifications The Outpatient Oncology Financial Coordinator has a working knowledge of healthcare finances and insurance related to the care of stem cell transplant and hematologic malignancy patients in both the outpatient and inpatient settings. The coordinator actively works with providers, patients, donors and caregivers to determine and facilitate access to healthcare benefits for treatment and or stem cell transplant. The coordinator advises providers, patients and caregivers about available benefits and financial obligations related to covered and non-covered treatment / transplant costs. The coordinator coordinates and clarifies specific financial aspects of care serving as a resource to and liaison between members of the hem‑malignancy/transplant team, insurers, patients, caregivers and administration thereby assuring continuity of care from a financial perspective. The coordinator works in collaboration with the hospital, physician providers and allied health care professionals to review care options for under or uninsured patients including but not limited to alternative community/financial resources. What you will do in this role: Complete initial financial screening on all new/referred patients. Obtain, track, and update routinely on‑going detailed patient / donor insurance benefit information and care authorizations for all aspects of the treatment plan including but not limited to outpatient diagnostic services, prescription drugs, follow‑up clinic visits, inpatient hospitalization, benefits for donor search and acquisition of the stem cell product as well as treatment related travel and lodging. Discuss benefits and other financial issues with patients and caregivers; answer questions concerning insurance and other financial issues, advise patients on insurance benefit issues. Provide written copy of financial screening. Communicate / apprise program physicians and administration of any potential reimbursement issues prior to treatment being provided, work collaboratively with provider, insurer and administration to resolve; obtain approval for treatment/transplant from internal executive committee for under or uninsured patients if needed. Counsel patients and providers regarding services that are related and unrelated to global contract periods and documents patient/donor counseling sessions. Develop and track logs of required benefit data for all hematology malignancy/stem cell transplant patients. Assume responsibility for assessment, communication and tracking of patient financial requirements. Assist with obtaining prior authorization for drugs, procedures and admissions as needed. Assist PharmD with preauthorization of discharge meds as needed. Obtain authorization for transplant medical evaluation, collection, and transplant admission. Maintain basic knowledge of the duties of the program revenue analyst to allow for coverage of key strategic needs in their absence. Participate in activities geared to attaining and keeping COE status with insurers including but not limited to RFI preparation, survey site visits, training, reporting, etc. Track and report gaps in needed vendors and facilities gap resolution. Adhere to FACT, COE, and other external regulatory agency standards, procedures / requirements. Serve as a liaison with other providers (i.e. case management, social work, transplant revenue analyst) in order to coordinate the completion of FMLA paperwork. Provide monthly financial reports regarding case mix index. Track the cause related to patients deciding to transplant elsewhere, especially those that decide to leave for another program late in the process. What qualifications you will need: 3 years of experience in a physician front office/hospital patient access setting required. 3 years of experience with insurance procedures/terminology and patient interactions required. 3 years of experience obtaining authorizations/predeterminations required. PC skills –advanced knowledge of Microsoft Office, spreadsheets, financial reports required. Bachelor’s Degree preferred. Benefits Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services. Wellbeing support, including free counseling and referral services. Time away from work programs for paid time off, paid family leave, long‑ and short‑term disability coverage and leaves of absence. Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling. Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing. Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts. Learn More About Employee Benefits Note: Eligibility for benefits may vary by location. We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. #J-18808-Ljbffr TriStar Centennial Medical Center