Admin Coord Insurance

Methodist Healthcare System; San Antonio (TX); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Comprehensive medical coverage

401(k) plan with match

Education assistance

Job summary

Methodist Healthcare System is seeking an Admin Coord Finance Insurance to act as a financial liaison for transplant patients. The role involves maintaining demographics and insurance data, verifying benefits, obtaining PCP referrals, and securing timely authorization for services.

You’ll collaborate with clinic staff, physicians, and families to explain benefits and connect patients to assistance programs.

Qualifications

• Verifies patient insurance benefits and authorizations.
• Tracks PCP referrals and requests for medical management and transplant services.
• Coordinates with insurers, clinics, and families to secure timely approvals.

Responsibilities

• Accurately tracks verification tasks, PCP referrals and authorizations for incoming medical management, organ failure, and/or transplant patients.
• Updates required systems with authorization, PCP referrals, eligibility information and denials.
• Submits clinical information to insurance providers and case managers to obtain authorization.
• Works with social workers, case managers and financial counselors to explain transplant benefits and assistance programs.
• Obtains insurance authorization and referrals for all clinic-ordered services and visits.

Skills

Insurance verification

Authorization processes

PCP referrals

Education

High School or GED

Job description

Introduction

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an)Admin Coord Finance Insurance today with Methodist Healthcare System.

Benefits

Methodist Healthcare System, 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 free 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.
• Free counseling services and resources for emotional, physical and financial wellbeing
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
• Family support through fertility and family building benefits with Progyny and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, event planning and more
• Consumer discounts through Abenity and Consumer Discounts
• Retirement readiness, rollover assistance 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)
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn More About Employee Benefits

Note: Eligibility for benefits may vary by location.

Job Summary And Qualifications

The Financial Coordinator serves as a financial consultant for the facilities transplant patients. Responsibilities include maintaining demographic and insurance information on all patients, verifying insurance benefits, obtaining PCP referrals, and obtaining timely authorization for all outpatient and inpatient transplant services. The Financial Coordinator will serve as the financial liaison between the transplant clinic staff , physicians and the patient/families. Coordinators will work independently or in conjunction with the Financial Counselor ensuring that prospective candidates for transplantation are fully aware of their transplant benefits.

What you will do in this role:

• Accurately tracks verification tasks, pcp referrals and authorizations for incoming medical management, organ failure, and/or transplant patients. Updates required systems with authorization, pcp referrals, eligibility information and denials.
• Consistently meets deadlines and turn around times to ensure that verifications, authorizations and pcp referrals are managed correctly and timely to support clinic operations.
• Submits clinical information to insurance providers and case managers to obtain authorization. Works collaboratively with outside providers when necessary to obtain clinical information to support the transplant authorization.
• In collaboration with the social worker and/or case manager and/or financial counselor to ensure that patients and/or their families fully understand medical and/or transplant benefits and opportunities for assistance programs. Works collaboratively with the onsite eligibility vendor to screen in-house or referred patients.
• Accurately and timely obtains insurance authorization and referrals for all services and/or visits ordered by the clinic provider. Financial Coordinators will receive training on transplant authorizations, financial counseling, selection meetings and peer to peer reviews for cross coverage on duties that are not equally shared.

What qualifications you will need:

• Education: High School or G.E.D.
• Experience: Minimum two years experience in the field of insurance authorization and clearance for medical services

Methodist Hospital opened in 1963 as the first hospital in the now internationally acclaimed South Texas Medical Center. With over 900 beds, Methodist Hospital offers a broad range of specialties including cardiology, oncology, bone marrow transplants, emergency medicine, neurosciences, maternity care, gynecology and orthopedics. We are proud to be the largest provider of the lifesaving ECMO Program in San Antonio, are home to the largest robotics program in the world, and our Adult Blood Cancer and Stem Cell Transplant unit has become the first program to receive FACT Accreditation in North America.

As the flagship hospital, and most comprehensive medical care facility of Methodist Healthcare, we appreciate the support and recognition we receive from the community. We’ve recently been named the No.1 Best Regional Hospital by the U.S. News and World Report for 2019-20. We pride ourselves on providing the highest quality of care possible for our patients, which is proven by our consecutive Grade A Leapfrog Hospital Safety scores. In addition, Methodist Hospital not only received a Primary Stroke Center designation from The Joint Commission, but has also received a Comprehensive Stroke Center Certification from DNV GL Healthcare, designating the facility as offering the most advanced stroke treatment available in a given geographic area. For more information, please visit our website at www.sahealth.com and select Methodist Hospital under Locations.

“The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual.”- Dr. Thomas Frist, Sr.

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Admin Coord Finance Insurance opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews.

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.