NewYork-Presbyterian Hospital · 7 hours ago
Financial Coordinator
New York, NY
Full-time
Onsite
Senior Level
$62K/yr - $88K/yr
5+ years expNewYork-Presbyterian Hospital is a leading healthcare system, and they are seeking a Financial Coordinator for their Financial Clearance Center in Infusion Oncology. This role involves obtaining pre-authorizations for infusion services and ensuring appropriate documentation for patient care and reimbursement processes.
Health CareHospitalMedical
Responsibilities
Serves as an expert in initiating and obtaining infusion service pre-authorizations through review and submission of clinical, demographic and insurance information
Understands the major cancer types and treatment protocols, drugs and regimens
Able to effectively communicate via phone, email and via system messaging with physicians, nurse practitioners, physician assistants, nurses, patients, insurance companies and infusion oncology administration
Initiates pre-authorization for infusion services with insurance companies by reviewing and submitting supporting medical documentation to support various treatment regimens
Able to escalate and interact with medical staff on a case by case basis to obtain additional supporting clinical documentation to support insurance company prior authorizations
Provides prompt feedback to physicians and management regarding pathway documentation issues, and payer issues with non-covered chemotherapy drugs
Effectively communicates unsupported medical necessity, special requirements and/or restrictions to providers and administration
Review and evaluate oncology procedures to assure the appropriateness and medical necessity of medication use based on NCCN guidelines
Able to track and follow up on multiple authorizations for the same patients for multiple drugs that expire and must be renewed at different points in time
Able to work with insurance providers to determine coverage, benefit limitations and patient financial responsibility prior to all patients scheduled treatments
Willingness to learn about new treatment options in a dynamic insurance environment and be able to adapt and overcome new administrative insurance barriers
Qualification
Required
High School Diploma or GED
Knowledge of Commercial/ Government coverage
5 years related experience
Knowledge of third party reimbursement (contracting and non-contracting) and eligibility requirements for the all subsidy programs
Knowledge/ ability to obtain insurance benefit verification
Preferred
Knowledge of CPT/ ICD10
Bachelor's Degree from a recognized college or significant work experience in lieu of degree
Benefits
Comprehensive and competitive benefits that support you and your family in every aspect of life
Countless opportunities for personal and professional growth
Company
NewYork-Presbyterian Hospital
At NewYork-Presbyterian, we put patients first.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Michael Isler
Executive Protection Specialist For the CEO/President of NYP
Megan McCarthy
Co-Founder of NYP Global Rehabilitation
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