Transplant Finance Manager

Transplant Finance Manager Location Austin, TX : Introduction We are seeking a(an) Transplant Finance Manager with St. David's North Austin Medical Center to promote growth and unlock possibilities. At HCA Healthcare, we are committed to the care and improvement of human life. Share your leadership skills and come make a difference with us! Benefits St. David's North Austin Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: ~ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. ~ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. ~ Free counseling services and resources for emotional, physical and financial wellbeing ~401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) ~ Employee Stock Purchase Plan with 10% off HCA Healthcare stock ~ Family support through fertility and family building benefits with Progyny and adoption assistance. ~ Referral services for child, elder and pet care, home and auto repair, event planning and more ~ Consumer discounts through Abenity and Consumer Discounts ~ Retirement readiness, rollover assistance services and preferred banking partnerships ~ Education assistance (tuition, student loan, certification support, dependent scholarships) ~ Colleague recognition program ~ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) ~ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. We are seeking a(an) Transplant Finance Manager for our team to be an innovator. HCA Healthcare partners with Harvard Pilgrim Institute and the CDC to use our data from more than 26 million patient encounters each year to impact the industry. Come build your career with us! Job Summary and Qualifications This individual is responsible for managing and coordinating applicable staff in Transplant Finance and medical management to ensure maximization of financial reimbursement by ensuring financial liabilities are identified and adequate insurance benefits or funding arrangements are in place prior to transplantation and other services. Acts as a resource to the Director and organ transplant team, in addition to Admitting and System Finance offices of transplant facilities in the St. David's North Austin Medical Center. You will oversee and manage Transplant Financial Coordinators for St David's North Austin Transplant Program, whose responsibilities include, but are not limited to, reviewing and pre-certifying all phases of transplant as necessary for ultimate and accurate outcomes. Review all transplant benefits and approvals on patients presenting for transplant services at SDNAMC. You will develop and maintain processes and procedures related to transplant clearance and the role of the Financial Coordinators and Authorization personnel to afford maximum reimbursement. Act as being the financial liaison between the Transplant inpatient and outpatient clinic with the various parties. You will maintain the knowledge and compliance with established policies and procedures including government, commercial insurance, and third party payor regulations. You will monitor daily financial operating activities of department and make necessary adjustments in work assignments including personally performing duties of patient clearance along with assigned staff. You will manage train, orient and evaluate performance over assigned personnel. Recommend promotions and disciplinary actions, and motivate employees to achieve peak performance. Daily review to ensure payroll is accurate. Ensure all personnel files are maintained and updated annually. You will support the Director of Transplant as needed with regard to transplant cases under financial review. The Financial Manager works with the Department Director, Program Director, and transplant coordinators of the organ transplant program to enable patients to undergo transplantation. You will review patient bills for inclusion in Kidney Acquisition Cost center, by conducting initial reviews for suitability in KACC. Enter charges in financial database, and prepares monthly report for Director and Accounting. You will oversee contract Management; Ensures contracts are in place with all providers prior to patients being scheduled with said group for proper payment. Maintains list for contracts; preps the Renewal Requests for legal for timely renewal of PSAs. Enter basic contract discussion with providers, and refers difficult negotiations to Department Director. What qualifications you will need: Well versed in Physician billing and coding knowledge; expert in excel spreadsheet and 10 key usage; excellent communication skills, both verbal and written. Must have achieved considerable knowledge of insurance companies operating procedures; knowledge of patient account services, and knowledge of effective supervisory and management techniques. Requires advanced knowledge and skill in Microsoft Office, spreadsheets and databases; keeping up with current developments and trends in areas of expertise. Required: High School Diploma or GED. Preferred: Bachelor's Degree in business related field. Required: A minimum of 3 years experience in physician billing and coding experience. Minimum five years experience in healthcare organization or the equivalent. St. David's North Austin Medical Center is a multi-specialty hospital in Texas withmore than 360 beds . The facility is home to St. David's Children's Hospital , St. David's Women's Center of Texas featuring a Level III NICU, a Kidney Transplant Center, and the Texas Institute for Robotic Surgery . Additional servicesoffered at this medical center include 24-hour emergency care, heart and vascular care, neurology andneurosurgery, rehabilitation services, and inpatient and outpatient surgery. St. David's North Austin Medical Center is part of St. David's HealthCare, which is oneof the largest healthcare systems in Texas and the third-largest employer in the Austin area. St.David's HealthCare was formed through a unique partnership between HCA Healthcare and twolocal non-profits — St. David's Foundation and Georgetown Health Foundation. HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for thedelivery of charitable care, uninsured discounts, and other uncompensated expenses. "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Join our family of over 180 hospitals and about 2,000 sites of care to drive excellence and raise the bar for our over 35 million annual patient encounters. We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.