University of Southern California
Transplant Financial Coordinator - Heart Acquisition - Full Time 8 Hour Days (No
University of Southern California, Los Angeles, California, United States, 90079
Transplant Financial Coordinator - Heart Acquisition
Full Time 8 Hour Days (Non-Exempt) (Non-Union)Company:
Keck Medicine of USCLocation:
Los Angeles, CaliforniaUnder the direction of the TFC supervisor, the transplant financial coordinator (TFC) is a designated member of the multidisciplinary transplant team. His/her primary function is to assure transplant patients' medical services are covered by insurance. This includes: insurance verification, authorization submission, effective patient counseling of insurance plans, providing insurance guidance when patients have a lapse of insurance or are under-insured and solid understanding of the complexity of transplant benefits as dictated by different insurance coverage. S/he is responsible for accelerating patient financial clearance by following standardized process steps. The TFC is also expected to problem-solve in real time and provide appropriate insurance direction to patients and staff, as needed. The TFC will participate in team meetings and discussions related to complex cases, advancing operational throughput and process improvement to benefit patient care. S/he should possess analytic skills and be able to evaluate/analyze insurance information to effectively convey and communicate to others. S/he should have excellent verbal and written skills and an ability to easily learn hospital and transplant IT systems as they relate to financial clearance and insurance. Bilingual fluency is strongly preferred.Essential Duties:Responsible for coordinating and clarifying patient-specific insurance and financial aspects of care with less than 5% inaccuracy.Work with patients and their families from referral through post-transplantation in a compassionate and tactful manner, in order to help facilitate access to, and provide, continuity of care. Assist patients with questions concerning insurance and other financial issues.Obtain and document detailed patient insurance benefit information, limitations and exclusions to determine appropriateness for transplantation services and financial criteria of program.Serve as a resource for patients and their family members on financial and insurance matters.Obtain all necessary payor authorizations, approvals and clearance. Verify transplant coverage and other medical benefits.Routinely monitor insurance coverage for patients throughout all phases of transplant.Identify and effectively communicate financial information to transplant team members, patients and their families.Facilitate resolution of patient billing issues.Maintain familiarity with UNOS and CMS regulations related to transplant finance and billing practices.Work with clinical staff to coordinate recipient and living donor benefits.Participate in the weekly transplant selection committee meetings.Engage non-contracted health plans and medical groups to interface with Keck Hospital.Follow all HIPAA related compliance.Act as a business professional in interaction and appearance.Establish a sense of comradery among peers and with supervisor/lead TFCs.Perform other duties as assigned.Required Qualifications:High school or equivalent.Associate's degree in a related field.2 years transplant financial experience may substitute for minimum education.Content knowledge of medical terminology and transplant process preferred.Demonstrated ability to problem-solve and provide effective resolution.Preferred Qualifications:Bilingual strongly preferred; if bilingual certified department translator strongly preferred.Bachelor's degree in a related field.2 years experience in the medical field, including transplant and transplant finance preferred.Required Licenses/Certifications:Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date.The hourly rate range for this position is $22.00 - $34.18. When extending an offer of employment, the University of Southern California considers factors such as the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.Posted Date:
12/13/2023
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Full Time 8 Hour Days (Non-Exempt) (Non-Union)Company:
Keck Medicine of USCLocation:
Los Angeles, CaliforniaUnder the direction of the TFC supervisor, the transplant financial coordinator (TFC) is a designated member of the multidisciplinary transplant team. His/her primary function is to assure transplant patients' medical services are covered by insurance. This includes: insurance verification, authorization submission, effective patient counseling of insurance plans, providing insurance guidance when patients have a lapse of insurance or are under-insured and solid understanding of the complexity of transplant benefits as dictated by different insurance coverage. S/he is responsible for accelerating patient financial clearance by following standardized process steps. The TFC is also expected to problem-solve in real time and provide appropriate insurance direction to patients and staff, as needed. The TFC will participate in team meetings and discussions related to complex cases, advancing operational throughput and process improvement to benefit patient care. S/he should possess analytic skills and be able to evaluate/analyze insurance information to effectively convey and communicate to others. S/he should have excellent verbal and written skills and an ability to easily learn hospital and transplant IT systems as they relate to financial clearance and insurance. Bilingual fluency is strongly preferred.Essential Duties:Responsible for coordinating and clarifying patient-specific insurance and financial aspects of care with less than 5% inaccuracy.Work with patients and their families from referral through post-transplantation in a compassionate and tactful manner, in order to help facilitate access to, and provide, continuity of care. Assist patients with questions concerning insurance and other financial issues.Obtain and document detailed patient insurance benefit information, limitations and exclusions to determine appropriateness for transplantation services and financial criteria of program.Serve as a resource for patients and their family members on financial and insurance matters.Obtain all necessary payor authorizations, approvals and clearance. Verify transplant coverage and other medical benefits.Routinely monitor insurance coverage for patients throughout all phases of transplant.Identify and effectively communicate financial information to transplant team members, patients and their families.Facilitate resolution of patient billing issues.Maintain familiarity with UNOS and CMS regulations related to transplant finance and billing practices.Work with clinical staff to coordinate recipient and living donor benefits.Participate in the weekly transplant selection committee meetings.Engage non-contracted health plans and medical groups to interface with Keck Hospital.Follow all HIPAA related compliance.Act as a business professional in interaction and appearance.Establish a sense of comradery among peers and with supervisor/lead TFCs.Perform other duties as assigned.Required Qualifications:High school or equivalent.Associate's degree in a related field.2 years transplant financial experience may substitute for minimum education.Content knowledge of medical terminology and transplant process preferred.Demonstrated ability to problem-solve and provide effective resolution.Preferred Qualifications:Bilingual strongly preferred; if bilingual certified department translator strongly preferred.Bachelor's degree in a related field.2 years experience in the medical field, including transplant and transplant finance preferred.Required Licenses/Certifications:Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date.The hourly rate range for this position is $22.00 - $34.18. When extending an offer of employment, the University of Southern California considers factors such as the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.Posted Date:
12/13/2023
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