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 10,000 who are shaping the future we envision.
Moffitt has been recognized as a Best and Brightest Company to Work for in the Nation, a Digital Health Most Wired Organization and continually named one of the Tampa Bay Time’s Top Workplaces.
A National Cancer Institute (NCI)-designated Comprehensive Cancer Center since 2001.
Summary
Coordinator Specialty Financial Clearance Unit
Position Highlights:
As a Coordinator Specialty Financial Clearance Unit at Moffitt Cancer Center, you are responsible for reviewing scheduled appointments, planned surgeries and planned admissions to ensure all aspects of eligibility and insurance approval have been met for each encounter. Your attention to detail is critical as you review each patient’s treatment plan and insurance benefits to ensure that all information is accurate and that authorization is obtained from the payor and/or primary care physician. You must be highly methodical and focused and make effective use of your time to achieve your daily performance goals. As a Coordinator Specialty Financial Clearance Unit you are responsible for additional functions related to the operation of the Financial Clearance Unit. Coordinator Specialty Financial Clearance Unit works directly with ordering physicians and their clinical teams, payers and patients. Coordinator Specialty Financial Clearance Unit maintains expertise in insurance requirements and authorization workflows; organizes, communicates and educates team members on process changes. Successful Coordinators Specialty Financial Clearance Unit have strong computer skills, are comfortable with medical terminology, are organized and thrive in a highly structured environment. Supporting the unique needs of cancer patients, Financial Clearance Specialists must remain calm under pressure and work comfortably with tight deadlines and competing priorities. Coordinators Specialty Financial Clearance Unit work independently but are flexible and collaborate to ensure that the department’s goals are met. Proven ability to take initiative, exercise independent judgment, exceed quality and productivity expectations and pro-actively problem solve.
ESSENTIAL FUNCTIONS:
Insurance Verification and Authorization
Job Specific Duties:
- Ensure all aspects of insurance approval, according to each patient’s insurance benefits, have been met for each patient encounter by reviewing scheduled appointments, planned surgeries and planned admissions
- Accurately capture information / document in the registration system the correct payor and health plan, procedure and diagnosis codes and identification numbers
- Ensures accuracy of all information conveyed in authorization request and addresses errors in a timely fashion through continual, direct collaboration with team members.
- Identifies system, process, practice or other changes that impact authorization outcomes and participates in process improvement initiatives to mitigate impacts or risks
Permanent communication with stakeholders
Job Specific Duties:
- Communicate with ordering providers, clinical teams, patients and insurance company representatives to ensure payment has been secured and patient is financially cleared prior to appointments
- Promptly and appropriately escalates issues and service failures that cannot be resolved independently
- Ability to deal effectively and courteously with a diverse group of internal and external stakeholders
Ongoing Training
Job Specific Duties:
- Responsible for specific functions (reports, work lists, projects) essential in the financial clearance process Assists with Financial Clearance Unit Specialist on-boarding and provides ongoing mentorship, contributes to maintenance and develop of training material
- Maintains expertise in insurance requirements and authorization workflows; organizes, communicates, and educates team members on policy changes
- Identifies system, process, practice, or other changes that impact authorization outcomes and participates in process improvement initiatives to mitigate impacts or risks
- Regularly updates the supervisor on challenges enrolling patients or system issues
Other job-specific duties as assigned
Job Specific Duties:
- Provides cross-coverage as required
- Provides coverage when business needs required
- Perform all other related duties appropriate to this level of position and/or as directed by the supervisor
Experience:
Minimum Requirement
- Associate degree plus two (2) years’ experience in Revenue Cycle functions as hospital registration, insurance verification and insurance pre- certification/authorization with a healthcare provider or insurance company.
- *In lieu of an Associate's degree, may consider two (2) additional years’ experience in Revenue Cycle functions as hospital registration, insurance verification and insurance precertification/ authorization with a healthcare provider or insurance company; for a total of four (4) years experience.
Preferred:
- Experience and/or certification in one of the cancer specialties (Infusion, Radiation Oncology, Surgery, BMT, Radiology)
- Proven ability to prioritize and multi-task in a fast-pace environment while demonstrating a positive attitude and empathy
- Strong oral and written communication
- Strong interpersonal skills and customer service orientation
- Strives to maintain highest service standards at all times with minimal supervision
- Experience on authorization process
- Financial Clearance Unit Specialist Level 3
EDUCATION
Minimum Requirement
**"in lieu of" an associate degree please review Minimum Experience Required section below.
Preferred:
Additional Skills Required:
- Excellent time management, organizational, and intermediate to advanced computer skills; fast learning ability to use new technologies and systems
- Ability to effectively develop and nurture relationships with a diverse group of stakeholders