Transplant Financial Coordinator
Introduction
The job is available at HCA HealthONE Presbyterian St. Luke's, part of the nation's leading provider of healthcare services, HCA Healthcare. Benefits offered include comprehensive medical coverage, prescription drug and behavioral health coverage, free telemedicine services, and free AirMed medical transportation.
Job Summary and Qualifications
Under general supervision, submits all prior authorizations and appropriate documentation required by specialty pharmacies and insurance companies for patients on defined medications. Ensures follow-up is conducted until approval is received and patient is notified. Sends prescriptions to pharmacies under direction of a physician. Assists with patient assistance forms for patients with financial needs such as high copays or financial hardship. Updates information in patient medical record (EMR) with approval or declination information; follows up with primary physician as to status and/or issues with prior authorizations. Coordinates with physician or advanced practice provider for scheduling of peer to peer requests for denied services. Coordinates with physician, advanced practice provider, or Nurse Coordinator to obtain letters of medical necessity to appeal denied services. Performs other duties as assigned.
Education and Experience
- College degree in business or health care field preferred.
- Two years experience in medical record coding and financial counseling.
Benefits
HCA HealthONE Presbyterian St. Luke's offers a total rewards package that supports the health, life, career, and retirement of our colleagues. The available plans and programs include:
- 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.
- 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.
- 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.
About the Company
Sarah Cannon is the Cancer Institute of HCA Healthcare. We offer integrated cancer services with easy access to cutting-edge therapies for communities across the United States and United Kingdom. Sarah Cannon's cancer programs include individualized patient navigation. Our nurses are oncology-trained. More than 1,200 stem cell transplants are performed yearly within the Sarah Cannon Blood Cancer Network. Through its services, Sarah Cannon provides state-of-the-art cancer care for hundreds of thousands of patients. Our cancer experts are collaborating and sharing best practices. We address every aspect of the cancer journey, from screening and diagnosis through treatment and survivorship. HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Bricks and mortar do not make a hospital. People do." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder
Company Culture
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.