Job Description

The University of Texas MD Anderson Cancer Center in Houston is one of the world's most respected centers focused on cancer patient care, research, education and prevention. It was named the nation's No. 1 hospital for cancer care in U.S. News & World Report's 2020-21 rankings. It is one of only 45 comprehensive cancer centers designated by the National Cancer Institute.

MD Anderson provides medical oncology, radiation oncology and surgical oncology services along with a range of supportive programs at all of its Greater Houston area locations. While MD Anderson - The Woodlands treats all types of cancers, the faculty has particular expertise in the diagnosis, treatment and management of the following cancers: Breast; Colorectal; Dermatology and skin; Endocrine; Genitourinary; Gynecologic; Head and neck; Neurologic; Thoracic.

The Primary responsibilities of the Patient Access Coordinator is to facilitate patient medical and financial clearance using oncology nursing knowledge, clinical judgment, and communication skills to assist in resolving difficulties surrounding patient access and authorization of services. These duties will include oversight of Patient Access Representatives in The Woodlands Houston Area Location under the leadership of the Manager of Business Services.
1. Patient Access
1. Consistently and accurately utilizes medical acceptance criteria to screen and schedule appointments for new patients in a way to ensure optimal efficiency in clinic operations.
2. Provides financial counseling options to patients including cost estimates, payment plans, discounts, and supplemental financial assistance; utilizing medical overrides and account reviews as appropriate.
1. Personnel Management
1. Make decisions regarding the hiring process in collaboration with the leadership team and staff.
2. Coordinate daily staffing coverage to ensure adequate resource coverage for operations
1. Revenue Integrity
1. Collects complete and accurate financial data during intake process to ensure appropriate financial screening of new patients and verifies data during new patient registration to ensure compliance with required forms and consents.
2. Uses technical expertise to obtain insurance information, verify benefits, and secure authorizations.
1. Clinical Reviews
1. Performs clinical review of new patient referrals to determine medical acceptance and communicates with patients, referring professionals and MDACC physicians regarding patients who fail to meet medical criteria for acceptance.
2. Uses clinical knowledge to assist with obtaining medical overrides, developing cost estimates, gaining authorization for services, and coordinating pre-determination processes.
2. Oral and Written Communication
* Uses excellent oral communication and listening skills to communicate with patient, referral source, MDACC physician and MDACC clinical staff regarding obstacles to access or financial clearance.
* Completely and accurately documents communications with payors, patients, and the treatment team.

Other duties as assigned

REQUIREMENTS :

Education

Required: Graduation from an accredited school of nursing

Preferred: Bachelor's degree in Nursing (BSN).

Experience

Required: Two years experience in nursing or one year related nursing experience in utilization review/insurance/case management/medical clearance.

Preferred: Two years oncology nursing experience. Two years experience in utilization review with external payors within a hospital or insurance setting.

License/Certifications:

Required: Current State of Texas Professional Nursing license (RN). Basic Life Support (BLS) or Cardiopulmonary Resuscitation (CPR) certification.

Preferred: Certified Case Manager (CCM) by the Commission for Case Manager Certification -OR- Certified Healthcare Access Manager (CHAM) by the National Association of Healthcare Access Management. American Heart Association Basic Life Support (BLS), ACLS (Advanced Cardiac Life Support) or PALS (Pediatric Advanced Life Support) certification as required by patient care area.

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

Additional Information
* Requisition ID: 138747
* Employment Status: Full-Time
* Employee Status: Regular
* FLSA: exempt and not eligible for overtime pay
* Work Week: Days
* Fund Type: Hard
* Pivotal Position: Yes
* Minimum Salary: US Dollar (USD) 79,600
* Midpoint Salary: US Dollar (USD) 99,500
* Maximum Salary : US Dollar (USD) 119,400
* Science Jobs: No