Transplant Financial Splst

At Moffitt Cancer Center, we strive to be the leader in understanding the complexity of cancer and applying these insights to contribute to the prevention and cure of cancer. Our diverse team of over 9,000 are dedicated to serving our patients and creating a workspace where every individual is recognized and appreciated. For this reason, Moffitt has been recognized on the 2023 Forbes list of America’s Best Large Employers and America’s Best Employers for Women, Computerworld magazine’s list of 100 Best Places to Work in Information Technology, Diversity Inc Top Hospitals & Health Systems and continually named one of the Tampa Bay Time’s Top Workplace.

Additionally, Moffitt is proud to have earned the prestigious Magnet® designation in recognition of its nursing excellence.

Moffitt is a National Cancer Institute-designated Comprehensive Cancer Center based in Florida, and the leading cancer hospital in both Florida and the Southeast. We are a top 10 nationally ranked cancer center by Newsweek and have been nationally ranked by U.S. News & World Report since 1999.
Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer. Join our committed team and help shape the future we envision.

Summary

Position Highlights:

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 carveouts 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.

Responsibilities:

• Insurance verification and benefits
• Estimates/collections
• Referalls/Authorizations

Credentials and

Experience:

• High School Diploma/GED
• Minimum of three (3) years’ experience in data processing, hospital registration, insurance verification
  and insurance pre- certification/authorization with a healthcare provider or insurance company required.

Certificatio…