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CO1000 H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.
Transplant Financial Specialist
Career Insights for Financial Operations Specialist
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Based on Florida data
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What they do
A Financial Operations Specialist specializes in foreseeing or carrying out financial transactions or other routine operations that are influenced by compliance needs. Requires some knowledge of accounting, billing, customer service and contracts. Helps businesses and their customers resolve financial billing and reconciliation issues.
$56,780 / year median in Florida
-5% projected decline
Job Description
Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer. As the only National Cancer Institute-designated Comprehensive Cancer Center based in Florida, Moffitt employs some of the best and brightest minds from around the world. Join a dedicated team of nearly 11,000 who are shaping the future we envision. Moffitt has been recognized as a Best and Brightest Company to Work For in the Nation and is continually named one of the Tampa Bay Times' Top Workplaces. Summary A Transplant Financial Specialist at Moffitt Cancer Center is responsible for analyzing clinical orders and researching complex insurance coverage information to develop financial/payment expectations for prospective Bone Marrow Transplant patients, donors and families. A Bone Marrow Transplant is a complex and high-cost procedure that results in a need for long term medical care. Patients and families need extensive financial counseling to make an informed decision about the Transplant process.
The Transplant Financial Specialist is responsible for verification of insurance benefits (including carve-outs and special contracts), developing detailed estimates for the BMT including out of pocket expenses during the transplant and consideration of long-term non-hospital expenses including prescription drug coverage and other personal expenses. Acquiring referrals and authorizations for all services within this treatment series, while communicating regularly with clinical teams and patients throughout the entirety of the process. Attention to detail is critical, reviewing each patient's treatment plan and insurance benefits to ensure that all information is accurate, and that pre-certification or authorization is obtained from the payor and/or primary care physician. High levels of focus, critical thinking, and time management are needed to meet performance goals. Successful Transplant Financial Specialists have strong computer and software navigation skills, are comfortable with medical terminology, this includes comprehension and research of clinical information, are organized and thrive in a highly structured environment. Supporting the unique needs of cancer patients, Transplant Financial Specialists must remain calm under pressure and work comfortably with tight deadlines and competing priorities. Members of the team work independently but are flexible and collaborate to ensure that the department's goals are met.
Financial counseling provided by the Transplant Financial Specialist may occur by phone communication or by email communication. Therefore, the Transplant Financial Specialist must have strong verbal and written communication skills and be comfortable providing customer service via these technology outlets. Due to the complexity these patients face, the specialist must offer an abundance of compassion and patience, creating not only a financial guide for the patient but also a line of support system as well while assisting patients through this journey from a financial perspective.
The Transplant Financial Specialist is responsible for verification of insurance benefits (including carve-outs and special contracts), developing detailed estimates for the BMT including out of pocket expenses during the transplant and consideration of long-term non-hospital expenses including prescription drug coverage and other personal expenses. Acquiring referrals and authorizations for all services within this treatment series, while communicating regularly with clinical teams and patients throughout the entirety of the process. Attention to detail is critical, reviewing each patient's treatment plan and insurance benefits to ensure that all information is accurate, and that pre-certification or authorization is obtained from the payor and/or primary care physician. High levels of focus, critical thinking, and time management are needed to meet performance goals. Successful Transplant Financial Specialists have strong computer and software navigation skills, are comfortable with medical terminology, this includes comprehension and research of clinical information, are organized and thrive in a highly structured environment. Supporting the unique needs of cancer patients, Transplant Financial Specialists must remain calm under pressure and work comfortably with tight deadlines and competing priorities. Members of the team work independently but are flexible and collaborate to ensure that the department's goals are met.
Financial counseling provided by the Transplant Financial Specialist may occur by phone communication or by email communication. Therefore, the Transplant Financial Specialist must have strong verbal and written communication skills and be comfortable providing customer service via these technology outlets. Due to the complexity these patients face, the specialist must offer an abundance of compassion and patience, creating not only a financial guide for the patient but also a line of support system as well while assisting patients through this journey from a financial perspective.
Minimum Education:
High School Diploma/GED Minimum Experience Required:
- Minimum of three (3) years' experience in data processing, hospital registration, insurance verification and insurance pre
- certification/authorization with a healthcare provider or insurance company required.
- Certified Revenue Cycle Representative (CRCR) must have within 6 months of hire and renewal is not required. Certification will be tracked by the business. Salary Range $20.64
- $31.
Benefits
- Dental Insurance