Case Rate Coordinator Lead (Hourly)

Job ID
23229
Type
Regular Full-Time
Location
US-WA-Seattle
Category
Accounting and Finance

Overview

Fred Hutchinson Cancer Center is an independent, nonprofit, unified adult cancer care and research center that is clinically integrated with UW Medicine, a world leader in clinical care, research and learning. The first National Cancer Institute-designated cancer center in the Pacific Northwest, Fred Hutch’s global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy, and COVID-19 vaccines has confirmed our reputation as one of the world’s leading cancer, infectious disease and biomedical research centers. Based in Seattle, Fred Hutch operates eight clinical care sites that provide medical oncology, infusion, radiation, proton therapy, and related services, and network affiliations with hospitals in five states. Together, our fully integrated research and clinical care teams seek to discover new cures for the world’s deadliest diseases and make life beyond cancer a reality.

 

At Fred Hutch, we believe that the innovation, collaboration, and rigor that result from diversity and inclusion are critical to our mission of eliminating cancer and related diseases. We seek employees who bring different and innovative ways of seeing the world and solving problems. Fred Hutch is in pursuit of becoming an antiracist organization. We are committed to ensuring that all candidates hired share our commitment to diversity, antiracism, and inclusion.

 

A Case Rate Coordinator works directly with partners' staff; Case Rate Insurance vendors to assure that payments are received accurately and timely

Prepare payments to disburse to partner organizations and outside providers

Answer case rate related questions. Identify and provide patient information for Accounting department to process correctly for General Ledger.

 

In addition to the responsibilities of the Case Rate Coordinator , this role will assist the supervisor with the day-to-day operations of the unit.  Additional duties include reporting, analyzing of reports, as requested by Management.   You will be responsible for accurate and timely administration of contracts, compliance of third party payers and government agencies with contracts and reimbursement regulations to promote receipt of maximum, accurate and compliant reimbursement for the Fred Hutch Cancer Center. Reinforce consistent expectations with payers regarding reimbursements.   Responsible for accurate and timely administration of contracts. This includes training, billing, collecting and analyzing case rates. Requires attention to detail and independent decision-making.

Responsibilities

  • Coordinate case period claims from partners, outside providers into packet form and submit to contacted payment carriers, along with payment invoice
  • Process and coordinate with followup reps and cash poster on payments. Resolve payment disputes with contracted payors
  • Calculate caserate payment per contracts
  • Access computer databases for spreadsheets for disbursements
  • Review and process weekly reports to partners
  • Reconcile accounts when closed
  • Maintain current understanding of contracted Case Rate payors
  • Other duties as assigned

 

In addition the to responsibilities of the Case Rate Coordinator 

  • Serve as point of contact for the unit.
  • Represent the unit in meetings.
  • Participate and possibly lead in continuous performance initiatives.
  • Assist with the on-boarding and training of new staff.
  • Interact with partner organization management staff.
  • Monitor the accuracy of the Access databases used for account management.
  • Triage issues/problems escalated by department and partner organization staff.

Qualifications

Required:

  • High School graduate or equivalent.
  • Two years in appropriately related revenue cycle function or equivalent education/work experience.
  • Ability to use a computer keyboard and mouse, navigate computer programs, and use email in a business setting.
  • Ability to communicate verbally in person, on the phone, and in writing in a clear and concise manner.
  • Identify and make recommendations regarding system issues.
  • Ability to effectively troubleshoot and escalate issues appropriately.
  • Critical thinking.
  • Ability to understand and meet performance standards.

 

Preferrerd: 

  • Understanding of billing edits and ability to resolve/or make recommendations.

 

SCCA has a mandatory COVID-19 vaccination policy, and there are no exceptions for any employee who is patient-facing and/or requires access to SCCA facilities.

Exceptions exist only for employees whose positions are fully remote, with no required access to campus. As a condition of employment, newly hired employees requiring access to campus must provide proof of vaccination before their first day of employment.

 

A statement describing your commitment and contributions toward greater diversity, equity, inclusion, and antiracism in your career or that will be made through your work at Fred Hutch is requested of all finalists. 

Our Commitment to Diversity

We are proud to be an Equal Employment Opportunity (EEO) and Vietnam Era Veterans Readjustment Assistance Act (VEVRAA) Employer. We are committed to cultivating a workplace in which diverse perspectives and experiences are welcomed and respected. We do not discriminate on the basis of race, color, religion, creed, ancestry, national origin, sex, age, disability (physical or mental), marital or veteran status, genetic information, sexual orientation, gender identity, political ideology, or membership in any other legally protected class. We are an Affirmative Action employer. We encourage individuals with diverse backgrounds to apply and desire priority referrals of protected veterans. If due to a disability you need assistance/and or a reasonable accommodation during the application or recruiting process, please send a request to our Employee Services Center at hrops@fredhutch.org or by calling 206-667-4700.

Options

Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
Share on your newsfeed