Lead Authorizations Coordinator

HCA Healthcare, Inc.; Austin (TX); On-site; USD 50,000 - 68,000; Full time

Benefits offered by this job

Comprehensive benefits

401(k) Plan with company match

Tuition assistance

Life insurance

Job summary

St. Davids South Austin Medical Center, part of HCA HealthCare, seeks a Lead Operations Coordinator to manage transplant financial processes and insurance verification for pre/post-transplant patients.

You will liaise with the Medical Director, transplant team, and case management to ensure timely pre-certifications and accurate coding for CPT/ICD entries. The role involves collecting coverage details, confirming benefits, and guiding patients through financial discussions.

Qualifications

• Experience with patient registration and financial counseling.
• Interpersonal and organizational skills required.
• Strong computer skills with Excel, Word, Outlook and insurance systems.

Responsibilities

• Develop and maintain processes related to transplant clearance for maximum reimbursement.
• Obtain patient insurance information and relevant details.
• Verify benefits and pre-certification requirements with insurers.
• Communicate financial status to transplant team and case management.
• Attend transplant meetings to report financial/insurance status.

Skills

Patient registration

Financial counseling

Education

High school diploma or equivalent

Tools

Excel

Word

Outlook

Insurance verification databases

Job description

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 Lead Operations Coordinator today with St. Davids South Austin Medical Center.

Job Summary and Qualifications

This position is responsible for collecting financial and insurance information from pre-transplant, post-transplant and managed care patients, verifying coverage, and obtaining required pre-certifications. Acts as a resource to the Medical Director and BMT transplant team, in addition to Admitting and System Finance offices of transplant facilities in the St. David’s South Austin Medical Center. Communicates with insurance case managers. Counsels patients on financial issues surrounding the transplant. Works closely with Transplant Social Worker, Physician and Coordinators. Communicates patient financial status with transplant team and others involved in the transplant 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.

• Develop and maintain processes and procedures related to transplant clearance to provide for maximum reimbursement. Act as being the financial liaison between the Transplant inpatient and outpatient clinic with the patient/family.
• 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, transplant 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.
• 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 Bone Marrow Transplant meetings.
• Maintains appropriate communication with case management throughout the transplant process, to include pre and post treatment.
• Obtains necessary pre-certifications for post-transplant care.
• At the time of admission, informs business office and other involved providers of patient insurance coverage and pre-certification information.
• Compiling insurance designated required documentation and submits for review to insurance.
• Communicates financial concerns to other individuals involved with the patient.
• Keeps transplant team informed of patient’s financial situation and status within the

Job Qualifications

• Preferred: Experience with patient registration, financial counseling or

Education

• High school diploma or equivalent; strong interpersonal and organizational skills required; intermediate computer skills including Excel, Word, Outlook and various insurance verification databases.

Benefits

St. Davids South Austin Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefitsfor medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support,including free counseling and referral services
• Time away from workprograms 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 supportthrough tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefitsfor 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.

St. Davids South Austin Medical Center, is a 368‑bed acute care hospital within St. David’s HealthCare, offering comprehensive specialty and sub‑specialty services. Key programs include a nationally accredited oncology program featuring the region’s only adult Transplant and Cellular Therapy Program; a Level II trauma center; advanced cardiac, stroke, and orthopedic services; full‑service maternity and newborn care; and four community emergency centers in Bee Cave and Bastrop.

The facility is affiliated with Texas Institute for Robotic Surgery, providing advanced robotic capabilities for orthopedics, open heart and lung procedures, complex GI surgery, surgical oncology, general and colorectal surgery, and urology. It was also among the first hospitals in Central Texas to integrate CT imaging with robotics for early lung cancer detection.

HCA Healthcare has been recognized as one of the Worlds Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated