FINANCIAL CLEARANCE SPLST in Tampa, Florida at H. Lee Moffitt Cancer Center

Position Highlights:

As a Financial Clearance Specialist at Moffitt Cancer Center, you are responsible for reviewing scheduled appointments, planned surgeries and planned admissions to ensure all aspects of 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 pre-certification or 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. Successful Financial Clearance Specialists 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. Members of the Financial Clearance Specialist team work independently but are flexible and collaborate to ensure that the department’s goals are met.

The Ideal Candidate:

• Experience and or certification in one of the cancer specialties (Infusion, Radiation Oncology, Surgery, BMT or Call Center) in lieu of prior Patient Access experience when applicable for the position.
• Experience using Microsoft Office suite including PowerPoint, Word and Excel, etc.

Responsibilities:

• 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.
• Obtain pre-certification or authorization from payor and/or primary care physician.
• Provide customer service / communicate with ordering providers, patients and insurance company representatives to obtain and share regular status updates.
• Other job-specific duties as assigned / consistent with level on career ladder.

Credentials and Qualifications:

• A minimum of one (1) years recent healthcare or insurance experience in a hospital or large group practice setting. For a large group setting, primary responsibility in Revenue Cycle or Patient Access areas.
• Associate's Degree *
  • In lieu of Associate degree, a H.S. Diploma/GED with an additional three (3) years of recent healthcare or insurance experience in a hospital or large group practice setting, for a total of five (4) years healthcare OR insurance experience.