Financial Coordinator

Company: HCA Healthcare
Location: Austin
Posted on: January 26, 2023

Job Description:

Description IntroductionDo you want to join an organization that invests in you as a(an) Financial Coordinator? At Heart Hospital of Austin, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.BenefitsHeart Hospital of Austin, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  
  
• Fertility and family building benefits through Progyny
  
  
• Free counseling services and resources for emotional, physical and financial wellbeing
  
  
• Family support, including adoption assistance, child and elder care resources and consumer discounts
  
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
  
• Employee Stock Purchase Plan
  
  
• Retirement readiness and rollover services and preferred banking partnerships
  
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
  
• Colleague recognition program
  
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  
  Learn more about Employee BenefitsNote: Eligibility for benefits may vary by location.
  
  You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Financial Coordinator like you to be a part of our team.Job Summary and Qualifications This position is responsible for collecting financial and insurance information from heart failure and managed care patients, verifying coverage, and obtaining required pre-certifications prior to Mechanical Circulatory Support (MCS) procedures and trans catheter heart valve procedures. Acts as a resource to the (MCS) and Valve Clinic (VC) teams and its Medical Directors, in addition to Admitting and Finance offices of Heart Hospital of Austin. Communicates with insurance case managers. Counsels patients on financial issues surrounding the inpatient and outpatient care for MCS and VC. Works closely with MCS Social Worker, Physician and Coordinators. Communicates patient financial status with MCS and VC teams and others involved in the process. Participates in providing patient specific care standards as directed, and follows service excellence standards to ensure high levels of patient satisfaction. Assist in review of Global contract cases to ensure proper insurance filing and complete follow-up on claim status until claim has finalized. Primary duties and responsibilities: 1. Develop and maintain processes and procedures related to implant clearance to provide for maximum reimbursement. Act as being the financial liaison between the hospital, inpatient and outpatient clinic, with the patient/family. 2. Obtains appropriate information on patient's healthcare coverage.
  • Obtains relevant insurance from patient.
  • Verifies patient and living donor benefits with patient's insurance.
  • Determines if pre-certification is required for evaluation, admission and/or follow-up care.
  • Verify pharmacy benefits, authorization requirements and obtain authorization as needed.
  • Coding and identifying CPT, ICD9 and ICD10 for clinical team and insurance 3. Obtains required pre-certification from insurance company.
    • Communicates with insurance case manager regarding the pre-certification process.
    • Sends required patient information to case management.
    • Attend and report on financial/insurance status as needed at MCS and VC meetings.
    • Maintains appropriate communication with case management throughout the process, to include pre and post treatment.
    • At the time of admission, informs business office and other involved providers of patient insurance coverage and pre-certification information.
    • Compiling insurance required documentation and submits for review to insurance. 4. Communicates financial concerns to other individuals involved with the patient.
      • Keeps MCS and VC teams informed of patient's financial situation and status within the process.
      • Informs Partnership managed care department of new managed care patients that may require special contracting prior to evaluation and/or implantation.
      • Seeks assistance for complex cases from program leaders such as MCS Director or Coordinator, Valve Clinic Manager and MCS Social Worker. 5. Conducts financial counseling with patients.
        • Meets with each pre-MCS patient to complete individualized financial plan. While this is not typically needed for VC patients, there could be a special circumstance requiring this service for VC patients as well.
        • Counsels patients on financial issues and advises them on planning for the implant.
        • Refers pre- and post-implant patients to social worker as needed for financial assistance and referral. 6. Contract Management
          • Ensures contracts are in place with providers prior to appointment being scheduled and bill getting paid.
          • Ensuring facility is in-network, determining if insurance is Global and if PCP referrals are required Coordinator Financial 2 October 22, 2020
          • Determining Global phase and ensuring filed appropriately
          • Enter basic contract discussion with providers. Refer difficult negotiations to Department Director.
          • Enter contracts into log for contract management purposes 6. Support the Senior Leadership team as needed with regard to MCS and VC cases under financial review. Work with the MCS Director, VC Manager, Medical Directors, and coordinators of both programs to enable patients to undergo implantation 7. Other duties as assigned
            What qualifications you will need:
            • High School Graduate / GED
            • Intermediate computer skills including Excel, Word, Outlook and various insurance verification databases
              This role requires you to be fully vaccinated for COVID-19 based on local, state and /or federal law or regulations (unless a medical or religious exemption is approved).Heart Hospital of Austin, which is part of St. David's
              HealthCare, is a 58-bed hospital. We are one of the highest performing cardiovascular
              facilities in the nation. We specialize in the diagnosis and treatment of cardiovascular disease.
              It features a comprehensive 24-hour emergency department. We have an advanced Executive Wellness
              Program. Our six operating rooms (ORs), including three hybrid ORs serve the city of Austin. We have
              three catheterization labs and electrophysiology services as well. It is home to one of the largest non-academic cardiovascular research programs
              in the world.
              HCA Healthcare has been named one of the World's Most Ethical Companies by Ethisphere Institute
              for over a decade.HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the
              delivery of charitable care, uninsured discounts, and other uncompensated expenses."Good people beget good people."- Dr. Thomas Frist, Sr.
              
              HCA Healthcare Co-Founder We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Financial Coordinator opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Keywords: HCA Healthcare, Austin , Financial Coordinator, Accounting, Auditing , Austin, Texas