Baptist Health South Florida

Compensation

Full Description

Baptist Health is the region’s largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we’ve been named one of Fortune’s 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors. What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients’ shoes ourselves and that shared experience fuels out commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact – because when it comes to caring for people, we’re all in. Description: BMT Financial Specialist primary responsibility ensure patients being considered for blood and marrow transplantation have adequate insurance benefits and resources identified for treatment. Will establish policies and procedures including creating standard operating procedures and data collection forms and preparing reports and presentations.BMT FS is the primary contact for insurance companies and medical reviewers.Determines what patient-specific and treatment-specific information is required by insurance companies and medical reviewers in order to obtain prior authorization for transplant & related services. If authorization is not obtained prior scheduled start of treatment, responsible for immediate notification to key Leadership staff member who then, with input from the BMT FS. Oversight of the BMT financial data integrity and ensures adherence to established guidelines. BMT FS works with BMT Nurse Coordinator(s) to obtain clinical information and records needed for insurance medical reviews. BMT FS recognizes and communicates key information to the BMT team that may affect the patient‘s transplant. Responsible for notifying actions that are out of compliance. Changes in clinical status and patient schedules require the ability to prioritize and re-prioritize case loads on a moment‘s notice. The estimated pay range for this position is $21.24 - $25.70 / hour depending on experience. Qualifications: Degrees: Associates Degree is required. Additional Qualifications: Significant financial experience in BMT is required including knowledge in autologous and allogeneic transplant. Able to work in a fast paced stressful environment and maintain a professional demeanor when dealing and communicating with co-workers, physicians, support staff, patients, visitors and all outside contacts. Demonstrated knowledge of the coordination of services of a multidisciplinary team and skills in patient education, consulting, teamwork and collaboration are necessary. A minimum of an associate degree in Business, Finance, English, Communications, or similar area of study is preferred. 4 or more years of experience in financial, insurance or business area of healthcare is acceptable alternative to education. Critical to this position is the ability to inform and educate third party payers. Requires knowledge of coverage issues affecting transplant services for all major payer groups. Additional skills include excellent written and oral communication, self-motivated, efficient, assertive and creative in problem-solving. Intermediate computer skills, with excel experience essential. Must keep abreast of clinical advances to communicate accurate information to insurance medical reviewers. Knowledge of vocabulary and coding. BMT (FS) Certification, preferred but not required. Minimum Required Experience: 2 Years EOE, including disability/vets