Director of Transplant Finance Authorization

Description

Introduction

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Director of Finance today with Methodist Hospital.

Benefits

Methodist Hospital, 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.

Come join our team as a(an) Director of Finance. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!

Job Summary and Qualifications

Seeking a Director of Transplant Finance for Methodist Hospital - Specialty & Transplant who is responsible for managing the revenue based accounting operations for Texas Transplant Institute (a Program of Methodist Specialty and Transplant Hospital) and interfacing with physician practice organizations as directed. Areas of responsibility include management of the following areas for Transplant Services; Authorization/Verification process on all Kidney/Liver accounts and supporting the respective reimbursement operations through Shared Service Center, third party administrator– Transplant Global Managed Care, Medicare Cost Reporting for Transplant Services, Pre, Post and Global physician and facility contracting for Transplant services and human resources at Department level.   We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply now!

**This person will be responsible for managing authorization verifications for the Cellular Therapy Program / Cancer & Oncology**

What You Will Do In Your Role:

• Manages Transplant Finance Team personnel to include interviewing, work allocation, orientation and training, staff development, problem resolution, evaluating performance, making recommendations for personnel actions, and motivating employees to achieve peak performance. Is responsible for employee’s output and conduct. Conducts feedbacks of supervised employees in a timely manner and follows human resource operations to ensure payroll is accurate, benefits are managed according to employee eligibility and elections and that all personnel files are maintained and updated annually.

• Directs Transplant Global Managed Care Finance Team including but not limited to tracking of Global Transplant patients for kidney and liver billing and collections. Act as third party administrator for the hospital under Global Managed Care Transplant payor contracts, maintaining and processing payable invoices for all Global providers during the applicable phases and distributing facility funds asas needed. Participate in month end accounting processes with Division office for related transplant accruals and bank reconciliations
• Directs, manages and monitors Transplant Financial Coordinators for Liver and Kidney programs to ensure insurance authorizations are completed and documented. Coordinate with Transplant Clinic and Insurance Case Managers to ensure insurance verifications are appropriate and done efficiently. Participate in meetings such as DMAT and Transplant Selection Committees to reduce transplant denials and underpayments.
• Responsible for overseeing Medicare Cost Reporting data for Transplant Services including 100% participation of Transplant staff; submission of data to HCA reimbursement, maintaining documentation for each Transplant during Medicare Cost Reporting year including but not limited to billing and reimbursement, acquisition costs, tissue typing, Donor charges and transportation. Must maintain a working relationship with HCA reimbursement regarding current and accurate adherence to CMS rules and regulations.
• Responsible for keeping up with latest insurance requirements for transplant and being able to develop strategies for maximizing transplant reimbursement.
• Directs assigned accounting functions for Transplant pre services, and Transplants accounts to ensure goals and objectives are met. Accounting functions include, but are not limited to, managing tranplant invoices/receivables, working closely with SSC to review monthly Transplant AR financial reports to effect appropriate and timely payment under terms of payor contracts. Determine areas for improvement and/or enhancement on a monthly basis

What qualifications you will need:

• Bachelor’s Degree in Business Administration or 3-5 years management experience working in patient access, insurance verification, or physician practice required.

This role requires you to be fully vaccinated for COVID-19 based on local, state and /or federal law or regulations (unless a medical or religious exemption is approved).

Methodist Hospital opened in 1963 as the first hospital in the now internationally acclaimed South Texas Medical Center. With over 800 beds, Methodist Hospital offers a broad range of specialties including cardiology, oncology, bone marrow transplants, emergency medicine, neurosciences, maternity care, gynecology and orthopedics. We are proud to be the largest provider of the lifesaving ECMO Program in San Antonio, are home to the largest robotics program in the world, and our Adult Blood Cancer and Stem Cell Transplant unit has become the first program to receive FACT Accreditation in North America.

As the flagship hospital, and most comprehensive medical care facility of Methodist Healthcare, we appreciate the support and recognition we receive from the community. We’ve recently been named the No.1 Best Regional Hospital by the U.S. News and World Report for 2019-20. We pride ourselves on providing the highest quality of care possible for our patients, which is proven by our consecutive Grade A Leapfrog Hospital Safety scores. In addition, Methodist Hospital not only received a Primary Stroke Center designation from The Joint Commission, but has also received a Comprehensive Stroke Center Certification from DNV GL Healthcare, designating the facility as offering the most advanced stroke treatment available in a given geographic area. For more information, please visit our website at www.sahealth.com and select Methodist Hospital under Locations.

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 the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Director of Finance opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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