BMT Financial Specialist, Business Clinic Office, FT, 8:00A - 4:30P

Baptist Health South Florida

3d•$21 - $26

About The Position

BMT Financial Specialist primary responsibility 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 patient-specific and treatment-specific information is required by insurance companies and medical reviewers in order to obtain prior authorization for transplant & related services. If authorization is not obtained prior scheduled start of treatment, responsible for immediate notification to key Leadership staff member 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 key information to the BMT team that may affect the patient‘s transplant. Responsible for notifying actions that are out of compliance. Changes in clinical status and patient schedules require the ability to prioritize and re-prioritize case loads on a moment‘s notice. The estimated pay range for this position is $21.24 - $25.70 / hour depending on experience.

Requirements

Associates Degree is required.
Significant financial experience in BMT is required including knowledge in autologous and allogeneic transplant.
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.
4 or more years of experience in financial, insurance or business area of healthcare is acceptable alternative to education.
Critical to this position is the ability to inform and educate third party payers.
Requires knowledge of coverage issues affecting transplant services for all major payer groups.
Additional skills include excellent written and oral communication, self-motivated, efficient, assertive and creative 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.
Minimum Required Experience: 2 Years

Nice To Haves

A minimum of an associate degree in Business, Finance, English, Communications, or similar area of study is preferred.
BMT (FS) Certification, preferred but not required.

Responsibilities

Ensure patients being considered for blood and marrow transplantation have adequate insurance benefits and resources identified for treatment.
Establish policies and procedures including creating standard operating procedures and data collection forms and preparing reports and presentations.
Primary contact for insurance companies and medical reviewers.
Determine what patient-specific and treatment-specific information is required by insurance companies and medical reviewers in order to obtain prior authorization for transplant & related services.
Responsible for immediate notification to key Leadership staff member if authorization is not obtained prior scheduled start of treatment.
Oversight of the BMT financial data integrity and ensures adherence to established guidelines.
Work with BMT Nurse Coordinator(s) to obtain clinical information and records needed for insurance medical reviews.
Recognize and communicate key information to the BMT team that may affect the patient‘s transplant.
Responsible for notifying actions that are out of compliance.
Prioritize and re-prioritize case loads on a moment‘s notice.