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Bone Marrow Transplant Financial Specialist, Miami Cancer Institute, FT, 8:00A
2 months ago
Baptist Health South Florida is the region's largest not-for-profit healthcare organization with 12 hospitals, more than 27,000 employees, 4,000 physicians, and 200 outpatient centers, urgent care facilities, and physician practices spanning across Miami-Dade, Monroe, Broward, and Palm Beach counties. Baptist Health has internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences. Baptist Health is supported by philanthropy and committed to its faith-based charitable mission of medical excellence.
Our mission, vision, and values make us who we are at Baptist Health and are at the center of everything we do. At Baptist Health, we positively impact the human experience for patients, employees, and physicians. Our success comes from a culture of quality and dedication that is instilled into every member of the Baptist Health family.
This year, and for 24 years, we've been named one of Fortune's 100 Best Companies to Work For, based on employee feedback. We've also been recognized as one of America's Most Innovative Companies and People Magazine included us in 50 Companies That Care. Based on the U.S. News & World Report Best Hospital Rankings, Baptist Health is the most awarded healthcare system in South Florida, with its hospitals and institutes earning 45 high-performing honors.
But really, the reason we're excited to come to work is the people.
Working together, we form personal connections with our colleagues that are stronger than most of us have experienced at other jobs. We develop caring relationships with our patients and their families that go beyond just delivering healthcare. After all, we know what it's like to be in their shoes. Many of us have been patients here and have had family members as patients here. We're committed to delivering quality care in the most compassionate way possible because we feel a personal stake in the outcomes. When it comes to caring for people, we're all in.
Description:BMT Financial Specialist's primary responsibility is to ensure patients being considered for blood and marrow transplantation have adequate insurance benefits and resources identified for treatment. Will establish policies and procedures, including creating standard operating procedures and data collection forms and preparing reports and presentations.
BMT FS is the primary contact for insurance companies and medical reviewers. Determines what insurance companies and medical reviewers require patient-specific and treatment-specific information to obtain prior authorization for transplant & related services. If authorization is not received before the scheduled start of treatment, responsible for immediate notification to key Leadership staff members who then, with input from the BMT FS.
Oversight of the BMT financial data integrity and ensures adherence to established guidelines. BMT FS works with BMT Nurse Coordinator(s) to obtain clinical information and records needed for insurance medical reviews. BMT FS recognizes and communicates vital information that may affect the patient's team.
Responsible for notifying actions that are out of compliance. Changes in clinical status and patient schedules require prioritizing and re-prioritizing caseloads at a moment's notice.
The pay range for this position is $ $25.34 / hour, depending on experience.
Qualifications:Significant financial experience in BMT, including knowledge of autologous and allogeneic transplants, is required. Able to work in a fast-paced, stressful environment and maintain a professional demeanor when dealing and communicating with co-workers, physicians, support staff, patients, visitors, and all outside contacts. Demonstrated knowledge of the coordination of services of a multidisciplinary team and skills in patient education, consulting, teamwork, and collaboration are necessary.
A minimum of an associate degree in Business, Finance, English, Communications, or a similar area of study is preferred. Four or more years of experience in financial, insurance, or business areas of healthcare is an acceptable alternative to education. The ability to inform and educate third-party payers is critical to this position.
This role requires knowledge of coverage issues affecting transplant services for all major payer groups. Additional skills include excellent written and oral communication, self-motivation, efficiency, assertiveness, and creativity in problem-solving. Intermediate computer skills, with Excel experience essential. Must keep abreast of clinical advances to communicate accurate information to insurance medical reviewers—knowledge of vocabulary and coding. BMT (FS) Certification is preferred but not required.
EOE
