IEC Financial Coordinator - Hybrid - Part Time - 120347

Under the supervision of BMT Nursing Director and the BMT Financial Manager, the IEC Financial Coordinator is involved with the patient, third party, government, state, and commercial authorization retrieval for high-cost pharmacy product and treatment therapy for the IEC/CAR-T program. The Financial Coordinator communicates with patients about billing, co-pays, and any out-of-pocket expenses. Provides coordinated services, procedures, and customer service. Tracks and provides documented financial reports and global contract follow-up for reimbursement. Provides financial counseling for securing the collection of accounts. Creates Monthly reports for the MCC high dollar / high-cost Oncology Meetings. Keeps up to date with all billing, coding and new therapy drugs and educates faculty and staff with any changes or updates. Ensures letters of agreement are secured in collaboration with the contracting office. Creates special billing and episode of care in the EMR.

• Seven (7) years of related experience, education/training, OR a Bachelor's degree in related area plus three (3) years of related experience/training.

• Experience and proven success in billing and/or collections processes, concepts, systems, and external regulations.

• Thorough knowledge of medical terminology and coding.

• Thorough knowledge of third-party payors and reimbursement requirements, medical terminology, ICD-10, and CPT codes.

• Demonstrated working knowledge of the patient referral and authorization process.

• Highly proficient with MS Office (Excel, PowerPoint, Word, Outlook).

• Knowledge of EMTALA and HIPPA.

• Working knowledge of healthcare and insurance authorization process.

• Thorough knowledge of the appeals and denied claims process.

• Strong skills in communicating complex information clearly and concisely both verbally and in writing.

• Proficiency skilled in Microsoft Word, PowerPoint, Excel, Outlook, etc.

• Experience in billing and collecting claims to commercial and government insurance companies for hospital contracts related to oncology services.
• Bilingual: English/Spanish.
• Epic.
• Revenue cycle workflow experience in an oncology setting.
• One (1) or more years of Blood and Marrow Transplant Program experience, with knowledge of Transplant Global Contracts.

• Must be able to work various hours and locations based on business needs.
• Employment is subject to a criminal background check and pre-employment physical.