Financial Counseling Specialist Senior

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Closing Date:

08/02/2024

Type of Position:

Professional Staff - Project/Program Administration

Job Type:

Regular

Work Shift:

Sponsorship Available:

No

Institution Name:

University of Arkansas for Medical Sciences

The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans.

UAMS offers amazing benefits and perks (available for benefits eligible positions only):

• Health: Medical, Dental and Vision plans available for qualifying staff and family

• Holiday, Vacation and Sick Leave

• Education discount for staff and dependents (undergraduate only)

• Retirement: Up to 10% matched contribution from UAMS

• Basic Life Insurance up to $50,000

• Career Training and Educational Opportunities

• Merchant Discounts

• Concierge prescription delivery on the main campus when using UAMS pharmacy

Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position, please click the Apply link/button.

The University of Arkansas is an equal opportunity, affirmative action institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of age, race, color, national origin, disability, religion, marital or parental status, protected veteran status, military service, genetic information, or sex (including pregnancy, sexual orientation, and gender identity). Federal law prohibits the University from discriminating on these bases. Questions or concerns about the application of Title IX, which prohibits discrimination on the basis of sex, may be sent to the University's Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights.

Persons must have proof of legal authority to work in the United States on the first day of employment.

All application information is subject to public disclosure under the Arkansas Freedom of Information Act.

At UAMS we value Diversity, Equity and Inclusion.

For general application assistance or if you have questions about a job posting, please contact Human Resources at askrecruitment@uams.edu.

Department:

ICE | CORE PA Central Authorization Team B

Department's Website:

Summary of Job Duties:

The Senior Patient Access Financial Counseling Specialist (FC) duties are to evaluate financial coverage for patients being considered for oncology services. The FC will verify insurance benefits, including pharmacy, and obtain pre-authorization for services from third party payers. The FC will also educate patients/family members, and/or care givers in a clinic setting and /or an inpatient setting on the financial requirements of transplant. Exceptional communication, interpersonal skills and vast knowledge of insurance contracts and benefits, including pharmacy, are required to effectively interact with the patient, family members, and/or caregivers.

Qualifications:

Minimum Qualifications:

Bachelor's degree and 3 years healthcare revenue cycle or revenue cycle related function or a high school diploma and 7 healthcare revenue cycle or revenue cycle related function

Excellent computer, word processing, and business office skills. Excellent language, communication and telephone skills. Ability to organize and prioritize duties. Experience in healthcare organizations highly preferred.

Preferred Qualifications:

Bachelor's degree in business or health related field

7 years' experience in healthcare/clinical business setting.

Epic Cadence knowledge will be essential. Must learn other programs as necessary, i.e. Drop Box, Access, Visio

Additional Information:

Additional Information:

• Responsible for planning, organizing, and implementing financial counseling services to patients and families.

• Responsible for screening patients to determine potential for program assistance and eligibility for treatment at UAMS.

• Coordinates efforts with the New Patient Intake team to verify insurance and transplants benefits.

• Performs thorough financial screening of eligible patient.

• Researches, verifies benefits, and documents patient insurance coverage and patient financial information.

• Ensures authorizations for all testing and imaging are obtained prior to services rendered.

• Serves as a resource for patients, family members and/or caregivers on financial matters and assists them with questions concerning insurance and other financial issues both before and after transplant.

• Works with patients and other team members to address financial gaps and identify alternative funding options.

• Acts as a contact for payers, UAMS contracts management, UAMS Hospital Billing Services and Professional Billing Services as requested.

• Collects and submits necessary clinical documentation and correspondence to requesting parties in a timely manner.

• Provides clinical updates to insurance nurse case managers as requested.

• Acquires prior authorization for diagnostic testing/labs/physician visits for both pre-op and post-op patients as needed.

• This is in addition to patient prior authorizations for diagnostic testing/labs/physician visits.

• Performs and communicates related patient follow-up with team members and clinical staff.

• Identifies, effectively communicates, and accurately documents patient financial information to the team.

• Keeps financial profiles updated and accurate on all active patients.

• Keeps the team apprised of any issues related to payer authorizations and reimbursements.

• Keeps up to date on financial requirements, in keeping with regulatory requirements of various agencies, including CMS and The Joint Commission.

• Provides general support to the office to include the generation of required forms, letters, and benefit verification to patients, referring physicians and regulatory agencies.

• Coordinates with scheduling and Case Managers, providing financial information or changes in insurance coverage.

• Any denied services are communicated promptly with the clinic providers and a final decision is discussed with the patients/caregivers.

• Effectively communicate and promptly seek an appeal or retroactive authorization when necessary.

Salary Information:

Commensurate with education and experience

Required Documents to Apply:

List of three Professional References (name, email, business title), Resume

Optional Documents:

Proof of Veteran Status

Special Instructions to Applicants:

Recruitment Contact Information:

Please contact askrecruitment@uams.edu for any recruiting related questions.

All application materials must be uploaded to the University of Arkansas System Career Site https://uasys.wd5.myworkdayjobs.com/UASYS

Please do not send to listed recruitment contact.

Pre-employment Screening Requirements:

Annual TB Screening, Criminal Background Check

This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law.

Constant Physical Activity:

Feeling, Grasping, Hearing, Manipulate items with fingers, including keyboarding, Repetitive Motion, Sitting, Talking

Frequent Physical Activity:

Kneeling, Lifting, Pulling, Pushing, Reaching, Standing, Stooping, Walking

Occasional Physical Activity:

N/A

Benefits Eligible:

Yes