OTHER PAYERS FINANCIAL CLEARANCE SPLST

Moffitt Cancer Center; United States; A distancia; USD 23.000 - 32.000; Jornada completa

Descripción de la vacante

Moffitt Cancer Center is seeking a Financial Clearance Unit Specialist to identify payment responsibility, verify eligibility, and secure authorizations from insurers. The role supports timely patient care and ensures reimbursement for services.

Strong communication with patients and clinical teams is essential. Ideal candidates have 1 year of relevant experience in patient registration or verification, or 3 years in customer service.

Formación

• Minimum one year of recent patient registration, insurance verification and/or insurance pre-certification/authorization with a healthcare provider or insurer
• Alternative: minimum of three years in a customer service role within or outside healthcare
• Preferred: familiarity with Infusion, Radiation Therapy, Surgical, BMT, CAR-T, or Clinical Trials settings

Responsabilidades

• Identify the responsible party for payment of services.
• Verify eligibility and benefits for patients.
• Secure authorizations from insurance companies or identify financial alternatives.
• Communicate with patients and clinical teams to ensure timely care and reimbursement.

Conocimientos

Insurance verification

Registration

Pre-certification/authorization

Customer service

Educación

High School Diploma/GED

Herramientas

Microsoft Office

Descripción del empleo

Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer.

As the only National Cancer Institute-designated Comprehensive Cancer Center based in Florida, Moffitt employs some of the best and brightest minds from around the world. Join a dedicated team of nearly 11,000 who are shaping the future we envision. Moffitt has been recognized as a Best and Brightest Company to Work For in the Nation and is continually named one of the Tampa Bay Times’ Top Workplaces.

Summary

The Financial Clearance Unit Specialist is responsible for identifying the responsible party for payment of services, verifying eligibility and benefits, securing authorizations from insurance companies or finding financial alternatives for patients in order to secure the financial health of Moffitt Cancer Center. This includes analyzing, identifying and resolving barriers, monitoring assigned worklists throughout the day, accurate creation and allocation of policies, accurate submission of clinical information, prompt and effective follow up, exhausting all resources for clearance, understanding of automation processes, effective communication with patients and clinical teams to ensure patients can timely receive the care needed and the center is reimbursed for services rendered.

Minimum Education Level:

High School Diploma/GED

Minimum Experience Required:

• A minimum of one (1) year recent patient registration, insurance verification and/or insurance pre-certification/authorization with a healthcare provider or insurance company.

• In lieu of one (1) year recent patient registration, insurance verification and/or insurance pre-certification/authorization with a healthcare provider or insurance company, a minimum of (3) years in a customer service role, within or outside of the healthcare industry.

Preferred Experience

• For Infusion team, experience in scheduling, registration or related functions in a Chemotherapy setting
• For Radiation Therapy, experience in scheduling, registration or related functions in a Radiation Therapy setting
• For Surgical, experience in scheduling, registration or related functions in a surgical setting
• For BMT, CAR-T, Clinical Trials, experience in scheduling, registration or related functions in one of these settings
• For Full Verification, experience in insurance verification and knowledge of insurance networks and contracting
• For FCU Hotline Team, experience working in a call center environment
• HFMA Certified Revenue Cycle Representative (CRCR) certification is a plus

Preferred Skills/Specialized Training

• Proficiency with Microsoft Office – Word, Outlook and Excel.
• Knowledge of guidelines and authorization process for commercial and government insurances
• Ability to manage multiple, competing priorities
• Possess effective oral and written communication skills
• Be assertive, highly motivated and be able to work independently
• Possesses excellent Time Management and Organizational Skills.
• Proficiency in computer skills (speed and accuracy)

Salary Range

$16.66 - $23.43

Salary ranges posted for this position represent the expected base pay range for the role. Actual compensation may vary based on location and a variety of job-related factors, including experience, skills, education, and internal equity among Team Members in similar positions.

We are committed to maintaining fair and equitable pay practices and regularly review compensation to ensure alignment across our workforce.

Moffitt Career Site

If you have the vision, passion, and dedication to contribute to our mission,

then we have a place for you!

1. Equal Employment Opportunity

Moffitt Cancer Center is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, or protected veteran or disabled status. We seek candidates whose skills, and personal and professional experience, have prepared them to contribute to our commitment to diversity and excellence.

2. Reasonable Accommodation

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment. Moffitt endeavors to make moffitt.org/careers accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact one of the Human Resources receptionists by phone at 813-745-7899 or by email at [e-mail]. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

Read more information about your EEO rights under the law.

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