Stanford Children's Health - Lucile Packard Children's Hospital
Location: Palo Alto, California
Internal Number: 11042785
Finance & Accounting
1.0 FTE, 8 Hour Day Shift
At Stanford Children's Health, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time.
This paragraph summarizes the general nature, level and purpose of the job.
The Financial Coordinator's primary responsibility is to assist in tracking and documenting admission authorizations for transplant patients being admitted for evaluations, hospitalizations, and other admissions or outpatient procedures. Acts as liaison to Patient Financial Services-hospital and professional, third party payors and contracting. Responsible for ensuring maximum coverage for patients and hospital reimbursement.
The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned.
Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.
Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct.
Attends weekly financial clearance meetings with transplant program team.
Contributes consistently to the development, implementation, and evaluation of departmental operations improvement. Continually maintains filing systems for Transplant financial charts.
Develops and maintains professional relationships with insurance carrier's utilization's review managers in order to complete authorizations in a timely manner.
Ensures that insurance coverage is available for aftercare and is evaluated and documented. Obtains benefits and prior financial authorizations for out-patient procedures by patients receiving services at Stanford Hospital and Clinics, hospitalizations, general surgery procedures and other admissions related to transplant.
Initiates registration in SMS and IDX systems as necessary. Copies medical information from Transplant charts; Files authorizations, financial documentation in Financial Transplant charts.
Meets with prospective patients and their families regarding insurance benefits and clarifies scope of insurance coverage as needed; assists with their application processes and in obtaining other coverage. Consistently documents all interactions with patient, families, and insurance carriers.
Obtains and assures timely and accurate receipt of prior financial authorizations for patients being admitted to transplant, hospitalizations, general surgery procedures and other admissions related to transplant.
Performs other job-related duties as assigned by manager.
Tracks and maintains records of interaction with all physician consultants utilized by the transplant departments as necessary. Adheres to transplant policies and procedures as related to financial clearance issues set forth by senior transplant financial coordinator and director of program. Coordinates these policies and procedures with those of Patient Financial Services.
Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.
Education: High School Diploma or GED equivalent.
Experience: Three (3) years of progressively responsible and directly related work experience.
Knowledge, Skills, & Abilities
These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education, or licensure/certification.
Ability to communicate effectively both orally and in writing.
Ability to maintain confidentiality with sensitive information.
Ability to plan, organize, prioritize, multi-task, and meet deadlines.
Ability to work effectively with individuals at all levels of the organization.
Knowledge of basic mathematics.
Knowledge of computer applications related to patient accounts processing.
Knowledge of medical terminology.
Knowledge of principles and practices of customer service and telephone courtesy.
Knowledge of Windows-based office software, computers and operating systems.
Physical Requirements and Working Conditions
The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.
Equal Opportunity Employer
Lucile Packard Children's Hospital Stanford strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, LPCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.