Financial Coordinator, Heart Failure- Cardiac Surgery, Hybrid

ChristianaCares Medical Group is actively seeking a Full Time Financial Coordinator to support the Outpatient Heart Failure and Cardiac Surgery practices.

How YOU make an Impact

The Financial Coordinator is an advocate on behalf of patients and families and is responsible for obtaining detailed patient insurance benefit and related financial information for all aspects of the heart failure/ LVAD process. The Heart Failure Financial Coordinator together with other appropriate interdisciplinary team members and are also responsible for ensuring appropriate authorizations are obtained and documentation is prepared to allow for appropriate billing for all charges.

The Financial Coordinator will also support with covering for patient check ins/out per staffing needs.

Work Schedule:

• Monday- Friday: :00am - 4:30pm

• No weekends or holidays.

• Hybrid position offering one (1) remote day per week. Schedule is ad hoc per department needs and subject to change.

• Opportunity for great work-life balance!

Key Responsibilities

• Functions as the primary resource for patients that have questions related to insurance coverage and related financial matters for heart failure and cardiac surgery.

• Coordination for post heart failure discharges (long term transportation food assistance programs medication/insurance optimization assistance shelter/housing)

• Advocates for patients and family members and acts as a liaison with insurance companies to assist in obtaining insurance information.

• Heart Failure Cardiomems/LVAD prior authorization/ insurance clearance

• Bridge Clinic: helping RN Coordinators with growing Bridge Clinic Program

• Researches and documents all insurance plans and confirm patients benefit eligibility including patient liabilities clauses riders and secondary payors.

• Resolves any discrepancies by contacting appropriate patients family members employers etc. as required.

• Reviews and interprets insurance group pre-certification requirements. Ensures proper pre-authorizations have been obtained. Completes any necessary on-line operations for specific payors to complete the pre-certification process. As necessary communicates data to utilization management to continue medical review process.

• Coordinates the ongoing pre-certification and approval process with insurance case managers and assist case managers with discharge planning to coordinate the most appropriate level of care for patients.

• Obtains referral from patients Primary Care Physician prior to admission for managed care plans when applicable.

• Performs other related duties as required.

Benefits & Incentives

• Full Medical Dental Vision Life Insurance etc.

• Two retirement planning offerings including 403(b) with company contributions.

• Generous paid time off with annual roll-over and opportunities to cash out.

• 12 week paid parental leave.

• Tuition assistance

• Incredible Work/Life benefits including annual membership to access to backup care services for dependents through retirement planning services financial coaching fitness and wellness reimbursement and great discounts through several vendors for hotels rental cars theme parks shows sporting events movie tickets insurance and much more!

Qualifications:

• Minimum of a high school diploma or equivalent. Associate degree in business or healthcare field with course work in accounting business and/or health care administration preferred.

• Extensive knowledge and comprehension of insurance standards and regulations required.

• Managed care experience and related experience with third party payor processes related to inpatient outpatient and physician billing and specialized documentation requirements relating to heart failure/ LVAD coverage.

Interested candidates should attach an updated copy of their resume during the application process.

Why ChristianaCare

ChristianaCare is rated by Forbes as the 2nd best health system for diversity and inclusion and the 29th best health system to work for in the United States and by IDG Computerworld as one of the nations Best Places to Work in IT. ChristianaCare is rated by Healthgrades as one of Americas 50 Best Hospitals and continually ranked among the nations best by U.S. News & World Report Newsweek and other national quality ratings.

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Christiana Care Health System is an equal opportunity employer firmly committed to prohibiting discrimination whose staff is reflective of its community and considers qualified applicants for open positions without regard to race color sex religion national origin sexual orientation genetic information gender identity or expression age veteran status disability pregnancy citizenship status or any other characteristic protected under applicable federal state or local law.