Cellular Therapy Financial Counselor- Healthcare- Boston, MA

We are seeking candidates for a Cellular Therapy Financial Counselor position with a world-renowned hospital located in Boston, MA. This position will be responsible for coordinating all financial phases of Stem Cell transplant and Immune Effector Cell (IEC) therapy. The ideal candidate will have 2 years of experience in a hospital or physician setting. Qualified candidates that are 100% REMOTE will be considered.

This is a 3-6 month contract to hire opportunity that will pay $20 per hour within a 40-hour workweek.

Responsibilities:

  • Accepts transplant and IEC team assignments from the Clinical Team and begins the detailed review of transplant and Immune Effector Cell (IEC) benefits, including preparing the Transplant and IEC Patient Introduction Letter and updating and completing registration
  • Verifies eligibility and coverage for transplant and / or IEC services
  • Pursues insurance approvals and coverage by submitting medical documentation required for referral/authorization at each phase of the transplant and IEC (including IEC and transplant evaluation, donor search, workup and post-transplant and IEC follow up care)
  • Acts as the liaison for the insurance Case Manager/Medical Director and patient
  • Participates in weekly Clinical Team meetings and communicates the patient’s financial clearance status necessary to assist with clinical decision making
  • Coordinates with patient/provider in appealing denied services, including coordinating peer to peer conferences
  • Serve as a resource to patients, families and staff regarding transplant and IEC financial issues
  • Prepare Financial Waivers and Advanced Beneficiary Notices (ABN) for patients with insurance plans that may not cover transplant or IEC service
  • Complies with all transplant and IEC billing practices including updating the appropriate billing plans in the Hospital Information System as well as updating third party websites with clinical dates and submission of administrative documents required by payers at time of admission
  • Documents all patient account correspondence in the appropriate note field, designated forms, or databases; this includes all phone calls incoming and outgoing, referral/authorization number data, and any other account knowledge that becomes available
  • Completes assigned work queues, projects, and other duties as needed

Qualifications:

  • Associate’s or Bachelor’s degree preferred
  • 2 years of relevant work experience in a hospital or ambulatory setting, including hospital/physician office registration, financial counseling and billing experience
  • Knowledge of insurance coverage verification, detailed benefit investigation, or clinical authorizations
  • Extensive knowledge and comprehension of ICD-10 and CPT coding, medical terminology, or insurance standards and regulations
  • Strong knowledge and understanding of prior authorization and billing practices.
  • Knowledge of hematology/oncology and/or cellular therapy services is preferred
  • Excellent customer service and communication skills
  • Experience with Microsoft Office and Epic
  • Ability to develop and maintain relationships with the clinical teams, case managers and other contacts

If you are interested in learning more about this opportunity, please email your resume to Olivia at ociviello@daleyaa.com.

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