About this role
Job Requirements Responsibilities
• Interview transplant candidates to assess insurance coverage and eligibility for financial assistance programs • Verify insurance benefits, process authorizations, and resolve coverage barriers including identifying alternative financial aid or charity programs • Schedule inpatient and outpatient admissions; register patients and create hospital accounts for procedures and diagnostic tests • Educate patients on insurance coverage, billing requirements, and self-pay responsibilities • Maintain and update transplant database with authorization numbers, patient financials, and key billing information • Develop and maintain financial reference guides including payer-specific policies, reimbursement guidelines, and state/federal regulations • Communicate coverage issues to transplant clinical staff and collaborate to resolve • Participate in transplant team meetings to present payer requirements and financial concerns • Develop letters of medical necessity and respond to third-party payer requests for additional information • Perform charge entry for national donor programs and ensure accurate billing across all transplant phases • Complete billing attachments for managed care global contracts • Maintain communication with Managed Care/Contracting to identify and process contract patients • Develop and maintain workload volume reports as requested • Serve as a resource for departments within and outside the Cancer Center or Transplant Center • Cross cover for vacancies and assume additional workload as needed • Performs other duties as assigned
Work Experience Education & Experience
• High School Diploma or GED required • Minimum 3 years of financial counseling experience in a hospital or healthcare setting Knowledge, Skills & Abilities
• Knowledge of insurance verification and hospital registration systems • EPIC experience preferred • Strong written and verbal communication skills • Proficient in word processing, database software, and basic computer operation • Ability to serve diverse patient populations with understanding of growth and development across the lifespan