Case Rate Coordinator

Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle, Fred Hutch is the only National Cancer Institute-designated cancer center in Washington.

With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world's leading cancer, infectious disease and biomedical research centers. 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 to the world's deadliest diseases and make life beyond cancer a reality.

At Fred Hutch we value collaboration, compassion, determination, excellence, innovation, integrity and respect. These values are grounded in and expressed through the principles of diversity, equity and inclusion. Our mission is directly tied to the humanity, dignity and inherent value of each employee, patient, community member and supporter. Our commitment to learning across our differences and similarities make us stronger. We seek employees who bring different and innovative ways of seeing the world and solving problems. Fred Hutch is in pursuit of becoming an anti-racist organization. We are committed to ensuring that all candidates hired share our commitment to diversity, anti-racism and inclusion.

The Case Rate Coordinator works directly with partner organizations and Case Rate Insurance vendors to assure that payments are received accurately and timely. Prepares payments to disburse to partner organizations and outside providers. Answers case rate related questions. Identifies and provides patient information for Accounting department to process correctly for General Ledger

Maintain knowledge and understanding of Case Rate Contracts and IMTX Single Case Agreements with bundle language.
• Manage case coverages and Transplant Billing Terms in Epic Bundle Episodes for case rate patient population.
• Maintain open communication with inner-departmental staff including Intake, Financial Clearance, and Transplant Transition RN's.
• Notify partners of active cases and work with partners, including answering questions throughout case to closure.
• Coordinate case period claims from all partners with balances to bill (UWMC, UWP, Fred Hutch).
• Manage Patient and claims information in Access Data Base.
• Validate bundle package and create Invoice.
• Submit Case Rate Bundles for claims processing either electronically or via Fed Ex.
• Monitor cases and work with payers resolving any claims issues or payment disputes until payment is received.
• Reconcile accounts and ensure all claims have been paid according to contract.
• Distribute funds to Fred Hutch Accounts and to partners for their claims included in Case Rate billing.
• Refund any case payment related over-payments to responsible payers.
• Manage BCHP monthly billing and work with King County until payment is received.

Required:

• High school graduate or equivalent
• Minimum one year of experience with Medical Billing and payment or or equivalent coursework. Minimum one year of experience with payment reconciliation related work or equivalent coursework.
• Minimum one year of customer service related experience, including payer relations, inter-departmental, and partner communications.
• 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.
• Strong working knowledge experience with Micro Soft Office Suite, including Outlook, Excel, Access Database.
• Attention to detail and ability to analyze large sets of number related data.
• Identify and make recommendations regarding system issues.
• Ability to understand and meet performance standards.

Preferred:

• Understanding of billing edits and ability to resolve/or make recommendations.
• Working knowledge of Case Rate and what it means when involving billing.
• Understanding of billing edits and ability to resolve/or make recommendations to resolve any billing related issues.
• Experience using Epic HB and Prelude Registration.
• Experience in Revenue Cycle working with contract related billing.

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.

The hourly pay range for this position is from $25.22 to $35.90 and pay offered will be based on experience and qualifications.

Fred Hutchinson Cancer Center offers employees a comprehensive benefits package designed to enhance health, well-being, and financial security. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 days per year), paid parental leave (up to 4 weeks), and partially paid sabbatical leave (up to 6 months).