What are the responsibilities and job description for the FINANCIAL CLEARANCE SPLST position at Moffitt Cancer Center Careers?
At Moffitt Cancer Center, we strive to be the leader in understanding the complexity of cancer and applying these insights to contribute to the prevention and cure of cancer. Our diverse team of over 9,000 are dedicated to serving our patients and creating a workspace where every individual is recognized and appreciated. For this reason, Moffitt has been recognized on the 2023 Forbes list of America’s Best Large Employers and America’s Best Employers for Women, Computerworld magazine’s list of 100 Best Places to Work in Information Technology, DiversityInc Top Hospitals & Health Systems and continually named one of the Tampa Bay Time’s Top Workplace. Additionally, Moffitt is proud to have earned the prestigious Magnet® designation in recognition of its nursing excellence.
Moffitt is a National Cancer Institute-designated Comprehensive Cancer Center based in Florida, and the leading cancer hospital in both Florida and the Southeast. We are a top 10 nationally ranked cancer center by Newsweek and have been nationally ranked by U.S. News & World Report since 1999.
Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer. Join our committed team and help shape the future we envision.
Summary
Position Highlights:
As a Financial Clearance Specialist at Moffitt Cancer Center, you are responsible for reviewing scheduled appointments, planned surgeries and planned admissions to ensure all aspects of insurance approval have been met for each encounter. Your attention to detail is critical as you review each patient’s treatment plan and insurance benefits to ensure that all information is accurate and that pre-certification or authorization is obtained from the payor and/or primary care physician. You must be highly methodical and focused and make effective use of your time to achieve your daily performance goals. Successful Financial Clearance Specialists have strong computer skills, are comfortable with medical terminology, are organized and thrive in a highly structured environment. Supporting the unique needs of cancer patients, Financial Clearance Specialists must remain calm under pressure and work comfortably with tight deadlines and competing priorities. Members of the Financial Clearance Specialist team work independently but are flexible and collaborate to ensure that the department’s goals are met.
The Ideal Candidate:
- Experience and or certification in one of the cancer specialties (Infusion, Radiation Oncology, Surgery, BMT or Call Center) in lieu of prior Patient Access experience when applicable for the position.
- Experience using Microsoft Office suite including PowerPoint, Word and Excel, etc.
Responsibilities:
- Ensure all aspects of insurance approval, according to each patient’s insurance benefits, have been met for each patient encounter by reviewing scheduled appointments, planned surgeries and planned admissions. Accurately capture information / document in the registration system the correct payor and health plan, procedure and diagnosis codes and identification numbers.
- Obtain pre-certification or authorization from payor and/or primary care physician.
- Provide customer service / communicate with ordering providers, patients and insurance company representatives to obtain and share regular status updates.
- Other job-specific duties as assigned / consistent with level on career ladder.
Credentials and Qualifications:
- A minimum of one (1) years recent healthcare or insurance experience in a hospital or large group practice setting. For a large group setting, primary responsibility in Revenue Cycle or Patient Access areas.
- Associate's Degree *
- In lieu of Associate degree, a H.S. Diploma/GED with an additional three (3) years of recent healthcare or insurance experience in a hospital or large group practice setting, for a total of five (4) years healthcare OR insurance experience.
