TCT Financial Coordinator

Salary Estimate: $56971.20 - $79768.00 / year

Learn More About The Benefits Offered For This Job.

The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

Do you want to join an organization that invests in you as a(an) TCT Financial Coorinator? At MountainView Hospital, 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.

Job Summary And Qualifications

• Completes initial financial screening on all new/referred patients including but not limited to:
• Confirms employment unemployment status
• Reviews and documents policy benefits if insured
• Reviews and documents drug coverage if insured
• Confirms coordination of benefits for medical and drug coverage with insurer
• Confirms co-pays/ co-insurance, covered and non-covered expenses
• Accurately identifies managed care plans, provider network eligibility status and access utilization requirements.
• Obtains, tracks and updates routinely on-going detailed patient / donor insurance benefit information and care\authorizations for all aspects of the treatment plan including but not limited to outpatient diagnostic services, prescription drugs, follow[1]up clinic visits, inpatient hospitalization, benefits for donor search and acquisition of the stem cell product as well as treatment related travel and lodging.
• Discusses benefits and other financial issues with patients and caregivers; answers questions concerning insurance and other financial issues, advises patients on insurance benefit issues. Provides written copy of financial screening.
• Communicates / apprises program physicians and administration of any potential reimbursement issues prior to treatment being provided, works collaboratively with provider, insurer and administration to resolve; obtains approval for treatment/transplant from internal executive committee for under or uninsured patients if needed.
• Counsels patients and providers regarding services that are related and unrelated to global contract periods and documents patient/donor counseling sessions.
• Develops and tracks logs of required benefit data for all hematology malignancy/stem cell transplant patients. Assumes responsibility for assessment, communication and tracking of patient financial requirements.
• Assists with obtaining prior authorization for drugs, procedures and admissions as needed.
• Assists PharmD with preauthorization of discharge meds as needed.
• Obtains authorization for transplant medical evaluation, collection and transplant admission.
• Maintains basic knowledge of the duties of the program revenue analyst to allow for coverage of key strategic needs in his/her absence.
• Participates in activities geared to attaining and keeping COE status with insurers including but not limited to RFI preparation, survey site visits, training, reporting, etc.
• Tracks and reports gaps in needed vendors and facilities gap resolution.
• Adheres to FACT, COE and other external regulatory agency standards, procedures / requirements.
• Serves as a liaison with other providers (i.e. case management, social work, transplant revenue analyst) in order to coordinate the completion of FMLA paperwork.
• Provides monthly financial reports regarding case mix index.
• Tracks the cause related to patients deciding to transplant elsewhere, especially those that decide to leave for another program late in the process
  
  

What qualifications you will need:

• Bachelor’s Degree Preferred
• Transplant Financial Coordinator Certification Preferred
• 1 year’s relevant experience with insurance procedures/terminology and patient interactions.
• 1 year’s relevant experience obtaining authorizations/predeterminations
• 1 year’s relevant experience in a physician front office/ hospital patient access setting.
• PC skills – advanced knowledge of Microsoft Office, spreadsheets and financial reports.
• Communicate clearly and concisely verbally and in writing with a customer focused orientation.
  
  

Benefits

MountainView Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts
  
  

Learn More About Employee Benefits

Note: Eligibility for benefits may vary by location.

HCA Healthcare has been named one of the World’s Most Ethical Companies by Ethisphere Institute for ten consecutive years (2010-2019). In 2019, 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 TCT Financial Coorinator opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.