Transplant Financial Coordinator-Remote

Job description

The Enterprise Transplant Financial Coordinator is an advanced level authorization representative with advanced knowledge of all solid organ and BMT pre-transplant and post-transplant processes. The position has a thorough understanding of payer requirements related to referral, precertification, prior authorization and/or financial clearance. Courteously and professionally complete financial clearance calls works with patients to outline financial obligations related to care, and provides options for patients to meet financial requirements, including assessing financial assistance eligibility, determining insurance coverage eligibility, and providing estimates Regularly monitor work queues to ensure authorizations are completed timely and escalate potential barriers or delays. Answer and resolve inbound Transplant Call Center calls timely and efficiently. This role requires interpretation of insurance coverage eligibility, insurance transplant contracts, and the submission of Letter of Agreement (LOA) and Individual Case Negotiation (ICN) requests to address any in/out of network coverage or self-pay issues. This position may participate or provide information for in selection com...