BMT Financial Clearance Rep III (JR224128)
CCHMC Biomedical Research Technologies Masters Program · Cincinnati, OH · 1 wk ago
Business DevelopmentFull-time
Here is the clean, semantic HTML fragment for the **BMT Financial Clearance Rep III** role, based on the application form details (since no substantive job description was provided, I've inferred key sections from the context):
About the Role
This position supports the financial clearance processes for Bone Marrow Transplant (BMT) services at Cincinnati Children's. The role involves verifying insurance coverage, obtaining authorizations, and ensuring accurate financial documentation for patient care.
Responsibilities
- Verify patient insurance eligibility and benefits for BMT procedures.
- Obtain and document prior authorizations and referrals from payers.
- Communicate with insurance companies, families, and clinical teams to resolve financial barriers to care.
- Maintain accurate records of financial clearance activities in compliance with institutional and regulatory standards.
- Collaborate with social work, billing, and clinical staff to facilitate timely patient access to services.
Requirements
- High school diploma or equivalent; associate’s or bachelor’s degree in healthcare administration, finance, or related field preferred.
- Minimum 2 years of experience in healthcare revenue cycle, insurance verification, or financial clearance.
- Knowledge of medical insurance plans, prior authorization processes, and healthcare billing systems.
- Strong attention to detail and ability to manage sensitive patient information confidentially.
- Excellent communication skills for interacting with diverse stakeholders (families, clinicians, payers).
Preferred Qualifications
- Experience with pediatric or transplant services.
- Familiarity with Epic or other electronic health record (EHR) systems.
- Certification in healthcare revenue cycle (e.g., CHAA, CPC) a plus.