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The Transplant Financial Specialist analyzes clinical orders and researches insurance coverage to develop financial expectations for bone marrow transplant patients. They are responsible for obtaining referrals and authorizations while providing financial counseling and support to patients and their families throughout the treatment process.
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.
Minimum Education:
High School Diploma/GED
Minimum Experience 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 - $31.47Salary ranges posted for this position represent the expected base pay range for the role. Actual compensation may vary based on location and a variety of job-related factors, including experience, skills, education, and internal equity among Team Members in similar positions.
We are committed to maintaining fair and equitable pay practices and regularly review compensation to ensure alignment across our workforce.
1. Equal Employment Opportunity
Moffitt Cancer Center is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, or protected veteran or disabled status. We seek candidates whose skills, and personal and professional experience, have prepared them to contribute to our commitment to diversity and excellence.
2. Reasonable Accommodation
Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment. Moffitt endeavors to make moffitt.org/careers accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact one of the Human Resources receptionists by phone at 813-745-7899 or by email at HRReceptionists@moffitt.org. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.
Read more information about your EEO rights under the law.
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