Financial Coordinator

Location

New York, New York

Shift:

Day (United States of America)

Description:

Financial Clearance Center - Financial Coordinator – Infusion Oncology

Serves as an expert in initiating and obtaining infursion service pre-authorizations through review and submission of clinical, demographic and insurance information.  This function is critical in supporting complex time sensitive patient care and reimbursement of high dollar services in a highly dynamic environment.

• 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.

Preferred Criteria

• Knowledge of CPT/ ICD10
• Bachelor’s Degree from a recognized college or significant work experience in lieu of degree

Required Criteria

• High School Diploma or GED
• Knowledge of Commercial/ Governemnt coverage
• 5 years related experience
• Knowledge of third party reimbursement (contracting and non-contracting) and eligibility requiremnets for the all subsidy programs
• Knowledge/ ability to obtain insurance benefit verfication

Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, belonging, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today.

Please note that all roles require on-site presence (variable by role). Therefore, all employees should live within a commutable distance to NYP.

NYP will not reimburse for travel expenses.

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• 2024 “Great Place To Work Certified”
• 2024 “America’s Best Large Employers” – Forbes
• 2024 “Best Places to Work in IT” – Computerworld
• 2023 “Best Employers for Women” – Forbes
• 2023 “Workplace Well-being Platinum Winner” – Aetna
• 2023 “America’s Best-In-State Employers” – Forbes
• “Silver HCM Excellence Award for Learning & Development” – Brandon Hall Group

NewYork-Presbyterian Hospital is an equal opportunity employer.

Salary Range:

$62,000-$87,500/Annual

It all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person. Join our team and discover where amazing works.