Transplant Financial Services Supervisor - AdventHealth
Orlando, FL
About the Job
Top Reasons to work at AdventHealth
+ Benefits from Day One
+ Paid Days Off from Day One
+ Student Loan Repayment Program
+ Career Development
+ Pet Insurance
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Schedule: Full Time - Hybrid
Shift : Days 8am - 4:30pm
Location: 2415 N. Orange Ave Suite 700, Orlando FL 32804
You Will Be Responsible For:
Facilitates day-to-day workflow and operations, including recommending procedures for obtaining authorization, forms and letters required for pre-transplant, transplant, and post-transplant phases. Provides customer service recovery when patient complaints/concerns are reported, serves as liaison between Managed Care and other AdventHealth departments.
· Reviews all hospital and professional charges ensuring the appropriate, payer, guarantor and alternate payers are correct ensuring proper and timely claims filing.
· Performs crisis intervention when financial issues arise pre- and post- implant/transplant. Participates in patient advocacy, resource brokering, and information and referral services. Serves as general advocate for patients and their families throughout the pre-and post-transplant process.
· Participates in authorized alternatives for the program such as Letters of Agreement, Pre-Provision of Services and Foundation Philanthropy; works with Managed Care, Legal Services and The Foundation to ensure proper protocols are followed, if a denial is received. Prepares quotes for international patients and works with all AdventHealth parties to ensure that accounts are billed timely and that payments are dispersed appropriately.
· Pro-actively initiates quality improvement ideas/suggestions in an effort to improve the patient experience of care (including quality and satisfaction), improve the health of the populations served, and reduce the cost of clinic care.
· Establishes and maintains a working relationship with key contacts at insurance companies (i.e. case managers, medical directors) and other departments within AdventHealth (i.e. Patient Financial Services, Reimbursement, and Accounting).
· Maintains current knowledge of Medicare and Medicaid rules or any legislation affecting the transplant patients.
Qualifications
KNOWLEDGE AND SKILLS REQUIRED
· Proficiency in Microsoft (Word, Excel and Access)
· Effective oral and written communication skills
· Self-directed with ability to be part of a team
· Knowledge of medical terminology and understanding of clinical concepts
· Ability to speak confidently with physicians and leadership
· Ability to make decisions quickly
· Knowledge of insurance practices regarding benefits, authorizations and appeals
EDUCATION AND EXPERIENCE REQUIRED:
· Four (4) years of experience in Consumer Access/Patient Financial Services OR
· Three (3) years' experience in Medical Office, Registration, Finance, Collections, Customer Service
· High School Degree
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
Category: Physician Services
Organization: AdventHealth Orlando
Schedule: Full-time
Shift: 1 - Day
Req ID: 25001363
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
+ Benefits from Day One
+ Paid Days Off from Day One
+ Student Loan Repayment Program
+ Career Development
+ Pet Insurance
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Schedule: Full Time - Hybrid
Shift : Days 8am - 4:30pm
Location: 2415 N. Orange Ave Suite 700, Orlando FL 32804
You Will Be Responsible For:
Facilitates day-to-day workflow and operations, including recommending procedures for obtaining authorization, forms and letters required for pre-transplant, transplant, and post-transplant phases. Provides customer service recovery when patient complaints/concerns are reported, serves as liaison between Managed Care and other AdventHealth departments.
· Reviews all hospital and professional charges ensuring the appropriate, payer, guarantor and alternate payers are correct ensuring proper and timely claims filing.
· Performs crisis intervention when financial issues arise pre- and post- implant/transplant. Participates in patient advocacy, resource brokering, and information and referral services. Serves as general advocate for patients and their families throughout the pre-and post-transplant process.
· Participates in authorized alternatives for the program such as Letters of Agreement, Pre-Provision of Services and Foundation Philanthropy; works with Managed Care, Legal Services and The Foundation to ensure proper protocols are followed, if a denial is received. Prepares quotes for international patients and works with all AdventHealth parties to ensure that accounts are billed timely and that payments are dispersed appropriately.
· Pro-actively initiates quality improvement ideas/suggestions in an effort to improve the patient experience of care (including quality and satisfaction), improve the health of the populations served, and reduce the cost of clinic care.
· Establishes and maintains a working relationship with key contacts at insurance companies (i.e. case managers, medical directors) and other departments within AdventHealth (i.e. Patient Financial Services, Reimbursement, and Accounting).
· Maintains current knowledge of Medicare and Medicaid rules or any legislation affecting the transplant patients.
Qualifications
KNOWLEDGE AND SKILLS REQUIRED
· Proficiency in Microsoft (Word, Excel and Access)
· Effective oral and written communication skills
· Self-directed with ability to be part of a team
· Knowledge of medical terminology and understanding of clinical concepts
· Ability to speak confidently with physicians and leadership
· Ability to make decisions quickly
· Knowledge of insurance practices regarding benefits, authorizations and appeals
EDUCATION AND EXPERIENCE REQUIRED:
· Four (4) years of experience in Consumer Access/Patient Financial Services OR
· Three (3) years' experience in Medical Office, Registration, Finance, Collections, Customer Service
· High School Degree
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
Category: Physician Services
Organization: AdventHealth Orlando
Schedule: Full-time
Shift: 1 - Day
Req ID: 25001363
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
Source : AdventHealth