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Description

Introduction

Do you want to join an organization that invests in you as a(an) Med Lab Scientist? At HCA Houston Healthcare Clear Lake, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Benefits

HCA Houston Healthcare Clear Lake, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.

+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.

+ Free counseling services and resources for emotional, physical and financial wellbeing

+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)

+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock

+ Family support through fertility and family building benefits with Progyny and adoption assistance.

+ Referral services for child, elder and pet care, home and auto repair, event planning and more

+ Consumer discounts through Abenity and Consumer Discounts

+ Retirement readiness, rollover assistance services and preferred banking partnerships

+ Education assistance (tuition, student loan, certification support, dependent scholarships)

+ Colleague recognition program

+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

_Note: Eligibility for benefits may vary by location._

You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Med Lab Scientist like you to be a part of our team.

Job Summary and Qualifications

The Transplant Revenue and Benefits Analyst supports financial coordination and reimbursement processes for stem cell transplant and hematologic malignancy patients across inpatient and outpatient settings. This role ensures accurate charge capture, billing, and contract compliance while also serving as a liaison between providers, patients, insurers, and administrative teams. The analyst monitors and audits financial accounts, facilitates payer contracts and case rates, and supports month-end financial reporting. Additionally, the analyst assists patients in understanding their insurance benefits, identifies financial obligations, and connects under- or uninsured patients with alternative funding resources, ensuring access to care and continuity from both a financial and operational perspective.

What you will do in this role:

+ Communicates / apprises program physicians and administration of any potential reimbursement issues prior to treatment being provided, works collaboratively with provider, insurer and administration to resolve; obtains approval for treatment/ transplant from internal executive committee for under or uninsured patients if needed.

+ Counsels patients and providers regarding services that are related and unrelated to global contract periods and documents patient/donor counseling sessions

+ Develops and tracks logs of required benefit data for all hematology malignancy/stem cell transplant patients. Assumes responsibility for assessment, communication and tracking of patient financial requirements.

+ Assists with obtaining prior authorization for drugs, procedures and admissions as needed.

+ Assists PharmD with preauthorization of discharge meds as needed.

+ Obtains authorization for transplant medical evaluation, collection and transplant admission.

+ Maintains basic knowledge of the duties of the program revenue analyst to allow for coverage of key strategic needs in his/her absence

+ Participates in activities geared to attaining and keeping COE status with insurers including but not limited to RFI preparation, survey site visits, training, reporting, etc.

+ Tracks and reports gaps in needed vendors and facilities gap resolution.

+ Adheres to FACT, COE and other external regulatory agency standards, procedures / requirements

+ Serves as a liaison with other providers (i.e. case management, social work, transplant revenue analyst) in order to coordinate the completion of FMLA paperwork.

+ Provides monthly financial reports regarding case mix index.

+ Tracks the cause related to patients deciding to transplant elsewhere, especially those that decide to leave for another program late in the process.

What qualifications you will need:

+ Medical Technologist

+ Bachelors Degree

+ Associate Degree

+ 3+ Plus years applicable experience

HCA Houston Healthcare Clear Lake (https://careers.hcahealthcare.com/pages/hca-houston-healthcare-clear-lake) is a **530+ bed hospital** where _sophisticated, world-class medicine meets the comfort, care and convenience of a community hospital_ . For more than 40 years, we have proudly been providing high quality, cost-effective, comprehensive healthcare to the Houston Bay Area. We opened our doors in 1972 and now employ 2,000+ staff members and 900+ physicians in a wide range of specialties. Our specialists offer more talent and experience than any other hospital in the region. We are a **Level II Trauma Center and the only exclusive heart hospital south of Houston** . Our accredited center provides nationally-recognized care in the prevention, diagnosis, treatment and recovery of cardiovascular diseases. HCA Houston Healthcare Clear Lake offers a variety of other services, including Woman Services, Pediatric Care, Breast Diagnostic Center, ACR-accredited Imaging Center, Wound Care Treatment Center featuring Hyperbaric Oxygen Therapy, and much more. We are members of HCA Houston Healthcare, the most comprehensive family of hospitals in the region and part of the leading provider of healthcare in the country, HCA Healthcare. Together we are stronger, smarter and more accessible in providing the patient-centered care you need close to home.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Good people beget good people."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Med Lab Scientist opening. Qualified candidates will be contacted for interviews. **Submit your resume today to join our community of caring!**

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.