Financial Coordinator Pharmacy Atrium Health CarolinaCARE FT

About the role

Direct patient/provider interaction, formulary review, cost optimization, billing and collection coordination, insurance benefit research and patient financial planning.

Responsibilities

• Coordinates and manages billing and collection functions for all payor types.
• Notifies physician offices of contract periods, identifies and monitors accounts, determines correct reimbursement, bundles all bills for submission to insurance companies, rebills claims as necessary, follows up on claim status, performs regular account maintenance, and distributes payments appropriately.
• Researches insurance benefits, options, and potential patient financial needs and discusses findings with patients and their families.
• Develops a financial plan with patients and their families.
• Obtains all necessary payer authorizations.
• Verifies and monitors coverage and other medical benefits and acquires necessary referrals and authorizations.
• Ensures all payor approvals are current at all times.

Requirements

• Bachelor's Degree in Accounting, Finance or related field or 5 years of insurance related experience required.
• 1 to 2 years of reimbursement experience in a hospital setting is preferred.
• Mobility required, majority of the day spent sitting, must be able to lift up to 5 lbs of patient charts, stretch to file or retrieve charts or manuals, and communicate with other groups and departments.
• Extensive analytical skills and focus on details, excellent written and oral communication skills required.
• Microsoft Excel, Word, STAR and IDX experience required.
• Databases, hospital registration, billing and clinical systems preferred.

Qualifications

• Must be able to work independently and possess strong organizational, time management, and interpersonal skills.
• Preferable: Proficient with medical terminology and familiar with clinical considerations as they relate to transplant cases.

Skills

• Strong analytical skills and attention to detail.
• Excellent written and verbal communication skills.
• Proficiency with Microsoft Office Suite.
• Knowledge of medical terminology and clinical considerations.

Benefits

Comprehensive suite of Total Rewards including:

• Compensation base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training.
• Premium pay such as shift, on-call, and more based on a teammate's job.
• Incentive pay for select positions.
• Opportunity for annual increases based on performance.
• Benefits and well-being programs, competitive compensation, generous retirement offerings, career development programs, and more.

Pay

Pay Range: $22.90 - $34.35

Schedule

Monday to Friday, 8 am to 5 pm