Financial Coordinator Pharmacy Atrium Health CarolinaCARE FT
About The Position
The Financial Coordinator will be responsible for coordinating and managing the billing and collection functions for all payor types within the CarolinaCARE Pharmacy. This role involves direct patient and provider interaction, including formulary review and cost optimization. The coordinator will notify physician offices of contract periods, identify and monitor accounts, determine correct reimbursement, bundle bills for insurance submission, rebill claims as necessary, follow up on claim status, perform regular account maintenance, and appropriately collect and distribute payments. Additionally, the role requires researching insurance benefits and options, assessing potential patient financial needs, discussing findings with patients and families, developing financial plans, and resolving potential out-of-pocket exposure. The Financial Coordinator will also obtain necessary payer authorizations, verify and monitor coverage and other medical benefits, acquire necessary referrals and authorizations, and ensure all payor approvals are current.
Requirements
- Bachelor's Degree in Accounting, Finance or related field or 5 years of insurance related experience required.
- Must be able to work independently and possess strong organizational, time management and interpersonal skills and be able to prepare and analyze financial reports.
- Must be proficient with medical terminology and be familiar with clinical considerations as these relate to transplant cases.
- Extensive analytical skills and focus on details.
- Excellent written and oral communication skills required.
- Microsoft Excel, Word, STAR and IDX experience required.
Nice To Haves
- 1 to 2 years of reimbursement experience in a hospital setting is preferred.
- Databases, hospital registration, billing and clinical systems preferred.
Responsibilities
- Direct patient/provider interaction
- Formulary review, cost optimization, etc.
- Coordinates and manages the 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 submittal to insurance companies, rebills claims as necessary, followings up on claim status, performs regular account maintenance, collects 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.
- Works with patients and develops resolutions to potential patient financial out-of-pocket exposure and helps them plan and overcome these obstacles.
- Obtains all necessary payer authorizations.
- Verifies and monitors coverage and other medical benefits and acquires necessary referrals and authorizations.
- Ensures that all payor approvals are current at all times.
Benefits
- Comprehensive suite of Total Rewards: benefits and well-being programs
- Competitive compensation
- Generous retirement offerings
- Programs that invest in your career development
- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
