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Senior Transplant Financial Coordinator Assistant

Company: Parkland
Location: Dallas
Posted on: September 24, 2022

Job Description:

Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that s served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It s our passion.Primary Purpose Serves as a lead worker to Medical Practice Assistants providing patient centered care and operational support to the medical team to ensure an optimal patient experience. Coordinates activities in the clinical areas and facilities a smooth patient flow. Assists with patient data collection, performs select screenings and completes medical office functions relevant to area/assignment. Education None. Experience Must have five years of customer service experience, preferably in a medical/healthcare/health insurance setting. Must have two years of experience in a Medical Practice environment. Patient registration experience preferred. Prefer completion of course work towards an accredited medical terminology. Medical Office Assistant experience or training a plus. Additional information the hiring manager is seeking in their top candidate: Qualifications Minimum 2 years medical insurance benefit coverage assessment, processing & invoices; including HMO and PPO experience Prior authorization experience Bilingual preferred (Spanish) Responsibilities:

  • Will be responsible for all scheduling of Kidney Transplant patients multiple appointments on same day or within a timeframe in collaboration with multiple departments including but not limited to radiology and outpatient clinic and procedures.
  • Review benefit requirements and start the request for authorization approval for the transplant evaluation, admission, clinic visits, work-up and testing, organ procurement, and post-transplant services
  • Review benefit requirements and start authorization, pre-certifications and /or pre-determinations for treatments
  • Review benefits for appropriate coverage for services
  • Meet with patients and family members at the time of transplant evaluation; explain to the patients the anticipated costs of transplant services and patient responsibilities (i.e post-transplant meds); help patients and families create a financial plan when benefits are not sufficient to cover transplant costs
  • Additional duties as assigned by management
  • Review and resolve any issues related to the patient as insurance coverage
  • Help coordinate referrals to external transplant programs when the patient s insurance is out of network
  • Follows transplant policies and procedures as they relate to obtaining the financial approval
  • Coordinates these policies and procedures and works closely with the transplant billing team to ensure compliance
  • Interact with transplant clinical staff and patients to obtain patient demographics to begin the insurance verification process Skills or Special Abilities Must demonstrate ability to type 20 words per minute with a maximum of 3 errors. Must be able to successfully pass a Customer Service Test, Basic Computer Skills Test and Basic Math Test with a minimum score of 80%. Must be able to successfully pass a Spelling Test with a minimum score of 85%. Must be able to work collaboratively with colleagues to deliver patient/customer services that exceeds patient expectations as evidenced by patient satisfaction scores. Must be able to demonstrate competency required as applicable to specialty area. Must have demonstrated communication skills to include above average verbal skills (heavy public contact) and written skills. Bilingual skills preferred. Must have a working knowledge of diagnostic ICD-9 CM coding and HCPCS-CPT4 procedure codes. Must have a thorough working knowledge of medical terminology. Must have basic knowledge of medical software. Must demonstrate a positive demeanor, good verbal and written communication skills, and be professional in both appearance and approach. Must be able to demonstrate intermediate level clerical skills and a working knowledge of standard office equipment. Must be detail oriented and have sharp analytical skills to resolve registration issues as related to multiple groups including third-party payors, physicians, patients and the system. Must be able to solve problems within the guidelines of established policies and procedures. Must be able to adjust to multiple demands, shifting priorities and rapid change. Responsibilities 1. Serves as a lead worker for Medical Practice Assistants to include training, scheduling, monitoring and completing Performance Indicator Reports, and other reports to maximize productivity and compliance within the department. Serves as acting supervisor for staff as needed, on weekends, rotating holidays or anytime a shift needs coverage in the absence of a regularly scheduled supervisor. 2. Acts as primary preceptor and provides general and topic specific training to employees, when changes in guidelines occur. Provides re-education to department staff based on results of reviews to correct potential weaknesses and assure ongoing compliance. Ensures documentation exists to evidence training has occurred. 3. Collaborates and assists with the coordination of operational activities to support clinical operations. 4. Serves as an expert resource for patient intake/inquiries, the assessment of patient needs related to clinical support services. 5. Performs all related Medical Practice Assistant duties and patient service activities in coordination with clinical team, and in an expert manner. 6. Assists with oversight in the day-to-day coordination of clinic/area activities and facilitates clinical support processes according to standards, and has the ability to support all service needs. 7. Proficiently performs delegated technical functions to include but not limited to: a. Obtains and/or records initial patient data including reason for visit, height, weight, allergies, etc., as trained and reports data to appropriate healthcare team member. 8. Practices patient safety measures and in association with site leadership: a. Complies with proper hand hygiene (hand washing/hand sanitizer gel/foam use). b. Applies or practices proper infection control methods. c. Identifies, corrects and/or reports safety hazards at the time of discovery. d. Identifies and/or facilitates maintenance problems with equipment, initiates requests for work order, and removes from patient care area, as appropriate. e. Informs Environmental Services when additional cleaning activities are needed. 9. Participates in performance improvement and quality initiatives. a. Participates in the unit performance improvement initiatives. b. Meets expected performance quality measures as outlined for area(s) or responsibility. 10. Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland. 11. Stays abreast of the latest developments, advancements, and trends in the field of Medical Practices by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices. 12. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the Medical Practice. Develops effective internal controls that promote adherence to applicable state/federal laws, and the program requirements of accreditation agencies and federal, state and private health plans. Seeks advice and guidance as necessary to ensure proper understanding. 13. Based on operational need, may be required to perform role in an alternate Parkland location.
    Job Accountabilities 1. Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland. 2. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices. 3. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding.Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. Associated topics: call center, client, guest, health, inside sales, insurance sales agent, life insurance agent, phone, retail, sales

Keywords: Parkland, Dallas , Senior Transplant Financial Coordinator Assistant, Other , Dallas, Texas

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