Transplant Financial Coordinatro-Remote
About the position Responsibilities • Complete financial clearance calls with patients to outline financial obligations related to care. • Assess financial assistance eligibility and determine insurance coverage eligibility. • Provide estimates for patient financial requirements. • Monitor work queues to ensure timely completion of authorizations and escalate potential barriers. • Answer and resolve inbound Transplant Call Center calls efficiently. • Interpret insurance coverage eligibility and manage insurance transplant contracts. • Submit Letter of Agreement (LOA) and Individual Case Negotiation (ICN) requests for coverage issues. • Participate in selection committee meetings to assist in decisions regarding transplant recipients. • Collaborate with the multidisciplinary care team to develop and implement care protocols for transplant patients. • Monitor and update documentation according to UNOS and CMS guidelines. • Assist with staff training and cross coverage as needed. Requirements • High School Diploma or GED required. • Minimum 5 years of experience in medical billing, customer service, or finance related field required. • Advanced knowledge of ICD-10 and CPT coding required. • Advanced knowledge of third-party payor referrals and authorizations required. • Excellent written and grammatical skills, including proper phone etiquette. • Advanced computer/keyboarding skills required. Nice-to-haves • Associate's Degree or higher preferred. • Transplant financial counseling and billing experience preferred. • Financial, analytical, and mathematical competencies preferred. • Competence and experience with Epic preferred. • Advanced knowledge of medical billing, reimbursement, and collections processes preferred. • Knowledge of solid organ transplants, bone marrow transplants (BMT), and End Stage Renal Disease (ESRD) preferred. • Knowledge of transplant billing requirements preferred. • Certification as Transplant Financial Coordinator (CTFC) preferred. Benefits • Opportunities for advancement • Comprehensive benefit plans • Continuing education support