Coordinator Financial

Job Summary and Qualifications

The Financial Coordinator serves as a financial consultant for the facilities transplant patients. Responsibilities include maintaining demographic and insurance information on all patients, verifying insurance benefits, obtaining PCP referrals, and obtaining timely authorization for all outpatient and inpatient transplant services.

Responsibilities

• Accurately tracks verification tasks, pcp referrals and authorizations for incoming medical management, organ failure, and/or transplant patients.
• Updates required systems with authorization, pcp referrals, eligibility information and denials.
• SUBMIT CLINICAL INFORMATION TO INSURANCE PROVIDERS AND CASE MANAGERS TO OBTAIN AUTHORIZATION.
• WORKS COLLABORATIVELY WITH OUTSIDE PROVIDERS WHEN NECESSARY TO OBTAIN CLINICAL INFORMATION TO SUPPORT THE TRANSPLANT AUTHORIZATION.
• ACCURATELY AND TIMELY OBTAINS INSURANCE AUTHORIZATION AND REFERALS FOR ALL SERVICES AND/OR VISITS ORDERED BY THE CLINIC PROVIDER.
• CONSISTENTLY MEETS DEADLINES AND TURNAROUND TIMES TO ENSURE THAT VERIFICATIONS, AUTHORIZATIONS AND PCP REFERRALS ARE MANAGED CORRECTLY AND TIMELY TO SUPPORT CLINIC OPERATIONS.
• IN COLLABORATION WITH THE SOCIAL WORKER AND/OR CASE MANAGER AND/OR FINANCIAL COUNSELOR TO ENSURE THAT PATIENTS AND/OR THEIR FAMILIES FULLY UNDERSTAND MEDICAL AND/OR TRANSPLANT BENEFITS AND OPPORTUNITIES FOR ASSISTANCE PROGRAMS.
• WORKS COLLABORATIVELY WITH THE ONSITE ELIGIBILITY VENDOR TO SCREEN IN-HOUSE OR REFERRED PATIENTS.

Qualifications

• Education: High school graduate or equivalent education required.
• Experience: Minimum of two (2) years experience in the field of insurance authorization and clearance for medical services.

Benefits

• Comprehensive medical coverage that covers many common services at no cost or for a low copay.
• Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing.
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service).
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock.
• Fertility and family building benefits with Progyny and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, event planning and more.
• Consumer discounts through Abenity and Consumer Discounts.
• Retailer readiness, rollover assistance services and preferred banking partnerships.
• Education assistance (tuition, student loan, certification support, dependent scholarships).
• Colleague recognition program.
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence).
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.