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Patient Financial Assistance
As a Financial Clearance Associate in our Financial Clearance Center, you play a critical role in creating a positive patient experience by ensuring financial processes are accurate, efficient, and compassionate.
What’s in it for you?
- Comprehensive Benefits: MD Anderson offers paid medical benefits, generous paid time off (PTO), and robust retirement plans to support your health and future.
- Work-Life Balance: Enjoy flexible scheduling options and resources designed to help you thrive both professionally and personally.
- Career Growth: Access to training, education, and mentoring opportunities to help you advance your career.
- Meaningful Impact: Every day, your work helps patients focus on healing while we handle the financial details with care and integrity.
Summary
The Financial Clearance Associate is responsible for creating a positive patient experience by accurately and efficiently handling day-to-day financial clearance activities. This includes verifying eligibility and benefits, managing pre-authorizations, providing financial counseling, and ensuring compliance with departmental policies. The Associate works under the guidance of the Financial Clearance Supervisor and escalates issues as needed for resolution.
Major Work Activities
- Verify Patient Eligibility: Obtain and document eligibility and effective dates using institutional and payor systems within required timeframes. Notify Patient Access and patients promptly if eligibility cannot be verified.
- Update Insurance Information: Collaborate with Patient Access to ensure accurate insurance details are documented in accordance with department policies.
- Confirm Patient Benefits: Document benefit details including product type, network status, co-payments, deductibles, co-insurance, pre-existing conditions, and coverage limits in the electronic health record.
- Manage Pre-Authorizations: Monitor work lists, obtain required pre-authorizations from payors or vendors, and accurately record reference numbers and contact details.
- Clinical Trial Coverage: Document and review coverage responsibilities between clinical trial sponsors and patient insurance.
- Provide Financial Counseling: Review cost estimates, calculate patient liability, discuss payment requirements, collect amounts due, and explain payment plans and financial assistance options.
- Submit Documentation: Complete and submit all required documents (e.g., PFA, COBRA) for supervisor approval.
- Escalate Issues: Promptly escalate financial clearance or counseling concerns to the Supervisor or Coordinator as appropriate.
- Maintain Accurate Records: Document all communications with patients, payors, vendors, and internal teams completely and accurately.
- Respond to Inquiries: Answer emails, phone calls, and messages within one business day.
- Professional Conduct: Perform all activities courteously and maintain positive relationships with patients, physicians, payors, and business partners.
- Continuous Improvement: Participate in training and mentoring opportunities to enhance job performance and personal growth.
- Other Duties: Perform additional tasks as assigned.
EDUCATION
- Required: High School Diploma or Equivalent
- Preferred: Associate's Degree Business or healthcare.
WORK EXPERIENCE
- Required: 3 years Experience in healthcare, insurance, customer service, hospitality, business or related field. or
- Required: 1 year Required experience with preferred degree.
- Preferred: 5 years Business experience in healthcare, customer service, insurance or hospitality. Experience with insurance verification, authorization, experience using insurance portals. Detail oriented is needed, experience with extensive documentation, administrative work, experience handling high volume forms and records, high level customer service, must be friendly and able to communicate effectively.
LICENSES AND CERTIFICATIONS
- Preferred: CHAA - Certified Healthcare Access Associate Upon Hire
- Preferred: CHAM - Certified Healthcare Access Manager National Association of Healthcare Access Management. Upon Hire
Work location: This position is remote, but must be able to work onsite occasionally for meetings, and collaboration.
Work Schedule: Monday - Friday 8am-5pm.
OTHER REQUIREMENTS: Must pass pre-employment skills test as required and administered by Human Resources.
The University of Texas MD Anderson Cancer Center offers excellent benefits, including medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and individual and team recognition.
This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment.
It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state, or local laws unless such distinction is required by law.http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html
