Transplant Financial Coordinator - Liver Acquisition

About This Role

The Transplant Financial Coordinator assures transplant patients' medical services are covered by insurance through verification, authorization, patient counseling, and providing insurance guidance. This role requires problem-solving and communication skills to facilitate financial clearance and improve patient care.

Responsibilities

• Coordinate and clarify patient-specific insurance and financial aspects of care with accuracy
• Work with patients and their families to facilitate access to and continuity of care
• Obtain and document detailed patient insurance benefit information, limitations, and exclusions to determine appropriateness for transplantation services
• Serve as a resource for patients and their family members on financial and insurance matters, providing educational materials
• Obtain all necessary payor authorizations, approvals, and clearance, verifying transplant coverage
• Routinely monitor insurance coverage for patients throughout all phases of transplant and cultivate relationships with insurance case managers
• Identify and effectively communicate financial information to transplant team members, patients, and their families, guiding them through financial assistance programs
• Facilitate resolution of patient billing issues and serve as a liaison to billing offices
• Maintain familiarity with UNOS and CMS regulations related to transplant finance and billing practices
• Participate in weekly transplant selection committee meetings and multidisciplinary clinics, preparing financial reports for each patient

Requirements

• High school or equivalent
• Associate's degree in a related field
• Content knowledge of medical terminology and transplant process preferred
• Ability to become proficient in EMR and various IT systems
• Demonstrated ability to problem-solve and provide effective resolution

Qualifications

• High school or equivalent, Associate's degree in a related field
• 2 years transplant financial experience may substitute for minimum education. Experience in the medical field, including transplant and transplant finance preferred.

Nice to Have

• Bachelor's degree in a related field
• 2 years Experience in the medical field, including transplant and transplant finance
• Bilingual fluency (certified department translator strongly preferred)