MD Anderson Cancer Center Emergency Center-Financial Clearance Associate(Financial Clearance Center) in Houston, Texas
The mission of The University of Texas MDAnderson Cancer Center is to eliminate cancer in Texas, the nation, and the world through outstanding programs that integrate patient care, research and prevention, and through education for undergraduate and graduate students, trainees, professionals, employees and the public.
The EC Financial Clearance Associate is responsible for creating a positive patient experience by accurately and efficiently handling the day to day operations relating to EC financial clearance activities. This includes adherence to the department's policies and procedures related to the verification of eligibility/benefits, EC payment collections, pre-authorization requirements, financial counseling and other identified financial clearance related duties. The Associate will work under the guidance of the EC Financial Clearance Manager/ Supervisor and will be responsible for timely escalating registration/financial clearance issues to the EC Financial Clearance Manager/Supervisor for resolution.
Obtain and document verification of patient eligibility (and applicable effective dates) using the available institutional and/or payor systems, including real-time web portals and tools, within the applicable timeframes as outlined by department policies and procedures to ensure a complete, accurate and timely registration
Collects complete and accurate financial data during intake process and ensures compliance with required forms and consents (ex. ABNs, MSPQs etc..)
Adheres to all departmental, hospital, government and/or any other healthcare licensing agency requirements related to EMTALA and HIPAA
Performs cashiering functions and promotes the Point of Service collections
Documents verification of patient benefits, including information regarding the product type, in-network or out-of-network status, all applicable co-payment, deductible, and co-insurance amounts or percentages, pre-existing indicator and time period, and any lifetime or annual maximums into electronic health record in a timely manner
Timely manage work lists for cases requiring pre-authorization and work directly with the payor or assigned third party vendor to obtain all required pre-authorizations. Seek to obtain pre-authorization through on-line web portals and tools, when available. Accurately document all reference and pre-authorization numbers, along with payor contact information, into electronic health record
Complete and timely submit all documents (PFA, COBRA, etc,) requiring Supervisor/Manager approval for financial clearance
Promptly escalate any issues with registration and/or counseling to the EC Financial Clearance Supervisor or seek assistance as appropriate from the EC Financial Clearance Manager, when needed
Answer emails and phone calls in a timely manner, and respond to voicemails and in-basket messages within one business day
Conducts all registration and Financial Clearance activities in a courteous and professional manner and maintains a positive working relationship with teammates, leaders, patients, physicians, payors, third party vendors and any other identified business partners
Seeks to improve job performance and personal growth by participating in available educational, training and mentoring opportunities
Perform all other duties as assigned
Required: High school diploma or equivalent.
Preferred: Associate's degree in business, healthcare or related field.
Required: Three years experience in healthcare, insurance, or related field. With preferred degree, one year of required experience.
Must pass pre-employment skills test as required and administered by Human Resources.
It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html
Requisition ID: 126811
Employment Status: Full-Time
Employee Status: Regular
FLSA: non-exempt, eligible for overtime, and is subject to the provisions of the Fair Labor Standards Act (FLSA)
Work Week: Days
Fund Type: Hard
Pivotal Position: No
Minimum Salary: US Dollar (USD) 34,000
Midpoint Salary: US Dollar (USD) 43,500
Maximum Salary : US Dollar (USD) 53,000