Financial Coordinator - PASC-Authorization (1.0 FTE, Days)
Finance & Accounting
1.0 FTE, 8 Hour Day Shifts
Lucile Packard Children's Hospital Stanford is the heart and soul of Stanford Children’s Health. Nationally ranked and internationally recognized, our 311-bed hospital is devoted entirely to pediatrics and obstetrics. Our six centers of excellence provide comprehensive services and deep expertise in key obstetric and pediatric areas: brain & behavior, cancer, heart, pregnancy & newborn, pulmonary and transplant. We also provide an additional, wide range of services for babies, kids and pregnant moms.
The Financial Coordinator's primary responsibility is to assist in tracking and documenting admission authorizations for transplant patients being admitted for evaluations, hospitalizations, and other admissions or outpatient procedures. Acts as liaison to Patient Financial Services-hospital and professional, third party payors and contracting. Responsible for ensuring maximum coverage for patients and hospital reimbursement.
• Attends weekly financial clearance meetings with transplant program team.
• Contributes consistently to the development, implementation, and evaluation of departmental operations improvement. Continually maintains filing systems for Transplant financial charts.
• Develops and maintains professional relationships with insurance carrier's utilization's review managers in order to complete authorizations in a timely manner.
• Ensures that insurance coverage is available for aftercare and is evaluated and documented. Obtains benefits and prior financial authorizations for out-patient procedures by patients receiving services at Stanford Hospital and Clinics, hospitalizations, general surgery procedures and other admissions related to transplant.
• Initiates registration in SMS and IDX systems as necessary. Copies medical information from Transplant charts; Files authorizations, financial documentation in Financial Transplant charts.
• Meets with prospective patients and their families regarding insurance benefits and clarifies scope of insurance coverage as needed; assists with their application processes and in obtaining other coverage. Consistently documents all interactions with patient, families, and insurance carriers.
• Obtains and assures timely and accurate receipt of prior financial authorizations for patients being admitted to transplant, hospitalizations, general surgery procedures and other admissions related to transplant.
• Performs other job-related duties as assigned by manager.
• Tracks and maintains records of interaction with all physician consultants utilized by the transplant departments as necessary. Adheres to transplant policies and procedures as related to financial clearance issues set forth by senior transplant financial coordinator and director of program. Coordinates these policies and procedures with those of Patient Financial Services.
Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.
Education: High School Diploma or GED equivalent.
Experience: Three (3) years of progressively responsible and directly related work experience.
Knowledge, Skills, and Abilities
• Ability to communicate effectively both orally and in writing.
• Ability to maintain confidentiality with sensitive information.
• Ability to plan, organize, prioritize, multi-task, and meet deadlines.
• Ability to work effectively with individuals at all levels of the organization.
• Knowledge of basic mathematics.
• Knowledge of computer applications related to patient accounts processing.
• Knowledge of medical terminology.
• Knowledge of principles and practices of customer service and telephone courtesy.
• Knowledge of Windows-based office software, computers and operating systems.
Equal Opportunity Employer