What are the responsibilities and job description for the Financial Coordinator - PAP Program position at Wake Forest Baptist Health?
JOB SUMMARY : Performs duties of moderate complexity, judgement, and scope in coordinating and managing all aspects related to insurance benefit information, authorization, billing, and collections for all types of services. Will serve as a resource to patients and their families, clinical staff, physicians, and insurance companies. Will work daily with drug manufacturers to coordinate shipment of medications for patients as well as processing reimbursement to patient accounts from drug manufacturers.
Position Highlights :
- Full-Time, Days
- 1st shift, M-F
- Winston Campus
What We Offer:
- Day 1 Health Coverage: Choose from either copay or HSA-eligible health insurance options with coverage starting on your first day of work.
- Generous PTO: Accrual starts at 25 days/year, to be used for vacations, sickness, holidays, and personal matters.
- Education: Eligible for our Prepaid College Tuition Assistance program (up to $5,250/year)!
- Wellness Incentives: Up to $1,350/year in wellness incentives through our LiveWELL program.
- Parental Benefits: Six weeks paid birthing-mother maternity leave & four weeks paid parental leave for non-birthing parents.
- Retirement: Up to 7% employer-paid retirement contributions.
What You Will Need:
- Bachelor’s degree in accounting, Finance or related field or 5 years of insurance related experience required.
- 1 to 3 years of pharmacy experience required.
- Must obtain national Pharmacy Technician Certification within 1 year of hire date.
- Must register yearly with the North Carolina Board of Pharmacy.
Nice to Have (Not Required):
- 1 to 2 years of reimbursement experience in a hospital setting is preferred.
How You’ll Impact Patient Care:
Your responsibilities may include, but are not limited to:
- Coordinates and manages the billing and collection functions for all commercial payor types regarding reimbursement from drug manufacturers.
- Notifies physician offices of approval periods, identifies and monitors accounts, determines correct reimbursement, following up on claim status, performs regular account maintenance, collects, and distributes Copayment reimbursements appropriately.
- Research insurance benefits to determine what assistance the patient may qualify for through the drug manufacturers.
- Works with patients and develops resolutions to potential patient financial out-of-pocket exposure and helps them plan and overcome these obstacles.
- Verifies and monitors coverage and other medical benefits.
- Ensures that all payor approvals are always current.
- Performs other duties as assigned.
Where You Will Work:
- Working in healthcare in Winston-Salem, North Carolina, is a rewarding and dynamic experience. This vibrant city is home to renowned healthcare institutions making it a hub for medical professionals and healthcare innovation.
- As a healthcare professional in Winston-Salem, you'll have the opportunity to provide top-notch care to a diverse and engaged community. The healthcare industry here is characterized by a commitment to patient-centered care, cutting-edge medical research, and a collaborative spirit among healthcare providers.
- Winston-Salem offers a high quality of life with a cost of living that's lower than in many other major cities. You'll find thriving arts and culture scene, beautiful parks, and a strong sense of community. The city's commitment to healthcare extends beyond the hospital walls, with initiatives aimed at improving public health and wellness.
- Whether you're drawn to clinical care, research, or administration, working in healthcare in Winston-Salem, NC allows you to be part of a healthcare environment that values excellence, compassion, and the well-being of the community. Join us in contributing to the health and vitality of Winston-Salem, where healthcare is not just a profession but a calling.
Salary : $1,350 - $5,250
