Baptist Health · 13 hours ago
BMT Financial Specialist, Business Clinic Office, FT, 8:00A - 4:30P
Baptist Health is the region’s largest not-for-profit healthcare organization, and they are seeking a BMT Financial Specialist to ensure patients considered for blood and marrow transplantation have adequate insurance benefits and resources. The role involves establishing policies, preparing reports, and being the primary contact for insurance companies to obtain prior authorization for transplant-related services.
Hospital & Health Care
Responsibilities
Ensure patients being considered for blood and marrow transplantation have adequate insurance benefits and resources identified for treatment
Establish policies and procedures including creating standard operating procedures and data collection forms and preparing reports and presentations
Be the primary contact for insurance companies and medical reviewers
Determine 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
Notify key Leadership staff member if authorization is not obtained prior scheduled start of treatment
Oversight of the BMT financial data integrity and ensure adherence to established guidelines
Work with BMT Nurse Coordinator(s) to obtain clinical information and records needed for insurance medical reviews
Recognize and communicate key information to the BMT team that may affect the patient‘s transplant
Notify actions that are out of compliance
Prioritize and re-prioritize case loads on a moment‘s notice due to changes in clinical status and patient schedules
Qualification
Required
Associates Degree is required
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
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
Minimum Required Experience: 2 Years
Preferred
A minimum of an associate degree in Business, Finance, English, Communications, or similar area of study is preferred
BMT (FS) Certification, preferred but not required
Company
Baptist Health
Baptist Health South Florida is the region’s largest not-for-profit healthcare organization with 12 hospitals, more than 29,000 employees, 4,500 physicians, and 200 outpatient centers, urgent care facilities, and physician practices spanning across Miami-Dade, Monroe, Broward, and Palm Beach counties.
Funding
Current Stage
Late StageLeadership Team
Recent News
2025-08-26
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