Clinical Financial Spec.

BJC HealthCare is seeking a Clinical Financial Specialist to assist with our cellular transplant team to assist with pre authorizations.

Ideal candidates will have experience in prior authorization or health insurance/ billing.

Overview Barnes-Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by U.S. News & World Report. Barnes-Jewish Hospital's staff is composed of full-time academic faculty and community physicians of Washington University School of Medicine, supported by a house staff of residents, interns, fellows and other medical professionals. Recognizing its excellence in nursing care, Barnes-Jewish Hospital was the first adult hospital in Missouri to be certified as a Magnet Hospital by the American Nurses Credentialing Center.

The Alvin J. Siteman Cancer Center¿at Barnes-Jewish Hospital and Washington University School of Medicine¿is an international leader in cancer treatment, research, prevention, education and community outreach. It is the only cancer center in Missouri and within a 240-mile radius of St. Louis to hold the prestigious Comprehensive Cancer Center designation from the National Cancer Institute and membership in the National Comprehensive Cancer Network. Parent institutions Barnes-Jewish Hospital and Washington University School of Medicine also are nationally recognized, with U.S. News & World Report consistently ranking the hospital and medical school among the nation's elite. The Outpatient Stem Cell Transplantation, Leukemia and Lymphoma team serves patients and families with hematologic malignancies. The clinical support crosses the patient care experience and facilitates continuity between the inpatient and outpatient environments. The program offers medical services and technologies that are state-of-the-art, while never losing sight of the importance of delivering one-on-one care.

Preferred Qualifications Role Purpose

Assists financial and clinical administrators, physicians and surgeons, and other medical school management staff to achieve favorable reimbursement for clinical and professional services provided across specific patient population's continuum of care.

Responsibilities

• Assists in the development of global managed care and single patient discount contracts.
  
• Completes the financial assessment at the time of a transplant patient referral.
  
• Generates statistical reports pertaining to the clinical and financial programs.
  
• Educates various audiences (both clinical and non-clinical) regarding insurance coverage, contracting, criteria for transplant listing and transplant program protocols.
  

Minimum Requirements

Education

• Bachelor's Degree
  
• Business/Nursing/related
  

Experience

• 2-5 years
  

Supervisor Experience

• No Experience
  

Benefits and Legal Statement BJC Total Rewards

At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.

• Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
  

Disability insurance paid for by BJC
Pension Plan/403(b) Plan funded by BJC

• 401(k) plan with BJC match
  
• Tuition Assistance available on first day
  
• BJC Institute for Learning and Development
  
• Health Care and Dependent Care Flexible Spending Accounts
  
• Paid Time Off benefit combines vacation, sick days, holidays and personal time
  
• Adoption assistance
  

To learn more, go to www.bjctotalrewards.com/Benefits

• Not all benefits apply to all jobs
  

The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer