Financial Case Coordinator-Transplant

As a member of the transplant team, the Transplant Financial Case Coordinator manages and/or coordinates all financial issues

with patients, insurers, referring and attending physicians, nurse coordinators, social workers and other stakeholders.

Compensation Range:  $26.06-$36.79 / Hourly

• Perform insurance verification and analysis and identify potential coverage issue
• Research to find other programs for payment and/or negotiate with third party payers to provide coverage by submitting medical data, citing precedents set by other payers and providing cost benefit information.
• Maintain current knowledge of payer requirements and general admitting practices including use of on-line verification applications and initial and ongoing training.
• Provide financial counseling and support for patients as needed during the course of their treatment. Assist in resolving problems with payers and provide information and expertise to other departments.
• Demonstrate ability to provide care or service adjusting approaches to reflect developmental level and cultural differences of population served.
• Demonstrate ability to counsel patients with billing inquiries
• Secure services associated with potential transplant and non-transplant patients
• Determine and coordinate need for a financial exception
• Work with potential international and self-pay patient
• Coordinate with all providers of service
• Work with Kidney Paired Donation (KPD), securing coverage for receipient and coordinating with other facilities involved in the KPD to ensure that their recipient has insurance for our donor
• Retroactively secure insurance coverage for patients transplant prior to securing financial resources
• Counsel and assist patients with navigating insurance option

• Research supporting clinical and non-clinical documentation in an attempt to gather as much information as possible to secure coverage for transplantation (including but not limited to research journals, articles, etc.)

REQUIRED:

• BA/BS degree (in business, communications or liberal arts fields or equivalent combination of education and experience) plus 2-3 years of experience (or equivalent combination of education and experience) in healthcare or insurance organizations related to admitting, billing, claims processing, financial counseling, collections, contracting.
• Strong knowledge of computer systems. Knowledge of EPIC System and Transplant Services experience preferred.

PREFERRED:

• BA/BS degree in business, communications or liberal arts fields or equivalent combination of education and experience.
• Knowledge of PASS System; knowledge of transplant services.

Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: https://www.fairview.org/careers/benefits/noncontract

An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical.

Salary : $26 - $37