Sr. Manager

The Department of Stem Cell Administration is currently seeking a full time Sr. Manager, Financial Counseling to work in Miami. The Senior Manager, Financial Counseling coordinates financial and clinical provider teams and services. This role procures, designs, negotiates, and executes financial decision support projects with the clinical and administrative staff. The incumbent supervises a team of SCT Finance Case Managers while supporting the following areas: Budgeting, Cost Analysis, Proper expected Transplant Reimbursements, Staffing Productivity Management, and Financial Planning. He/she will function as the team leader for start-up activities and new programs initiated by the Adult Transplantation and Cellular Therapy Program and the hospital. Responsibilities require close interaction with physicians and department directors/managers, nurse coordinators and ARNP’s regarding interpretation and distribution of clinical and transplant related financial data.

Core Responsibilities:

1.Manages and determines the liability on patient accounts and works with patients or their
representatives to provide financial planning, accurate relevant information and or secure payments for
the Adult Stem Cell Transplant Program.
2. Oversees the operations of the Stem Cell Transplant Finance department. Ensure that the Workqueue’s
that hold high dollar transplant patient accounts are worked in UChart to make billing edits for a clean
claim transplant to be submitted to the insurance for the recipient and the donor. This includes all
transplant types, allogeneic unrelated and related, autologous and CAR-T.
3. Work closely with Central Business Office (CBO)/Transplant Hospital Billing team regarding insurance
case rates, case edit creations in UChart and all other transplant billing related matters.
4. Manages, develops, and maintains decision support system to ensure availability of accurate and timely
revenue, cost, and utilization of data used by all levels of management within the organization.
5. Interacts, communicates, and intervenes with multidisciplinary healthcare team in a purposeful, goaldirected
manner. Works proactively to maximize the effectiveness of resource utilization. Anticipates,
initiates, and facilitates problem resolution around issues of resource use and continued hospitalization
and discharge planning.
6. Works with all levels of the institution in the strategic decision-making process while maintaining the
required degree of confidentiality and professionalism.
7. Maintains accuracy and data integrity in the decision support system through audits and routine reviews
of data.
8. Works with Revenue Integrity to create Stem Cell Transplant specific policies and procedures, build
revenue capture models, track revenue inconsistencies within hospital departments and work with IT/Sr.
Systems Engineer to resolve any issues in a timely manner.
9. Implements and maintains resource utilization systems across all hospital departments. Maintains
regular communication with department managers regarding required insurance authorizations and
financial clearances. Access the Department Appointment Report (DAR) in UChart to financially clear
appointments for transplant recipients and donors.
10. Maintains a proactive role to ensure appropriate documentation concurrently to minimize inefficient
resource utilization and prevent loss of reimbursement.
UNIVERSITY OF MIAMI
Core_Sr. Manager, Financial Counseling
11. Utilizes financial and decision support systems to perform complex financial evaluations of new
processes, including assessment and confirmation of SCT Volumes, reimbursement, payor mix, operating
costs, expected transplant reimbursements and the financial structure in accordance with departmental
policies and procedures.
12. Prepares and/or validates assumptions, complex calculations, schedules and other documentation in
developing the Specialty Hospitals annual capital and operating budgets with assistance from the
Transplant Administrator.
13. Communicates with departments to resolve various budget-related financial problems and procedures.
Assists directors/managers in understanding variances from budget and documents new issues that
impact the current and future budget developments with assistance from the Transplant Administrator.
14. Ensures internal control oversight and compliance with laws and regulations, contracting, safeguarding
of assets, compliance with University policies and procedures, reliability of internal and external
reporting, researches each transplant by Hospital Account Record (HAR) Chart for efficiency and
effectiveness of proper transplant reimbursements/operations. Creates an effective control
environment, conducts risk assessment, implements and monitors controls.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other
duties or responsibilities as necessary.
 

CORE QUALIFICATIONS

Education:

Associate degree required

Bachelor’s degree in relevant field; relevant years of experience will be considered

Experience:

Minimum 5 years of relevant experience