Manager, Financial Transplant Specialist, Transplant Cellular Therapy - Full-Time, Days
About The Position
The Financial Transplant Specialist Manager oversees the financial aspects of transplant clearance in UChicago Medicine’s Transplant and Cellular Therapy department. This includes pre-registration, insurance verification, and maintaining pre- and post-transplant patient accounts, as well as leading a team of financial transplant coordinators. The manager performs financial and administrative tasks for patients, families, and the hospital, and monitors revenue generated by transplant recipients and donor-related charges with limited supervision. The manager uses hospital revenue systems and communicates financial status to patients, families, physicians, nurses, insurance companies, donors, and hospital staff throughout each phase of care. The role maintains work queues, patient accounts, and insurance-coverage workflows for recipients and donors; oversees financial counseling; addresses billing issues and changes in insurance coverage; and handles escalated referrals, authorization, and coverage issues, including cases where services may need to be temporarily deferred. The manager also mentors coordinators and works with hospital finance teams to improve billing, patient communication, and EMR practices. This is a full-time, primarily work-from-home position, with onsite attendance as needed, approximately 2–3 days per month. The position is based in the Transplant Cellular Therapy department in Hyde Park, and the employee may be based outside the greater Chicagoland area.
Requirements
- Bachelor’s degree or equivalent.
- At least 8 years of experience in medical insurance verification and/or healthcare finance.
- At least 10 years of related healthcare registration, billing, and/or reimbursement experience.
- Advanced understanding of financial clearance in a healthcare setting.
- Proficiency in Microsoft Office, Epic systems (including EPIC training and testing), and Phoenix for solid organ candidates.
- Advanced insurance authorization and registration techniques.
- Background in medical terminology.
- Experience with website insurance training platforms, including OneSource, Availity, and Connex.
- Strong communication skills and ability to communicate courteously and effectively with physicians, payors, and staff.
- Ability to prioritize multiple projects while maintaining communication with all invested parties.
- Ability to maintain confidentiality of patient information.
- Strong analytical and financial assessment abilities and close attention to detail.
- Excellent customer service and communication skills with patients, colleagues, and external customers.
- Ability to build and maintain relationships with financial transplant coordinators, clinical teams, and insurance case managers.
- Ability to problem-solve and manage conflicts independently while promoting a team-based environment.
- Advanced interpersonal skills, including tact, discretion, and courtesy.
- Effective task prioritization and decision-making in a dynamic, fast-paced environment.
- Adaptability to new systems and processes while meeting patient needs and changing operational priorities.
- Commitment to patient-centered service, excellence, and accuracy while multitasking.
Nice To Haves
- Certified Revenue Cycle Representative (CRCR) certification.
- Certified Transplant Financial Coordinator (CTFC) certification.
- Strong coding and billing experience or a financial counseling background.
Responsibilities
- Oversee the transplant financial coordinator team, ensuring appropriate staffing levels and equitable work distribution.
- Manage human resources functions for direct reports, including hiring, performance appraisals, competency assessments, and ongoing performance management.
- Manage transplant and donor patient account work queues to identify and resolve potential billing errors, working with coordinators to correct transplant plan codes, coverage details, and effective dates.
- Develop onboarding plans and training materials for new transplant financial coordinator personnel.
- Provide resources, ongoing training, and mentorship focused on revenue cycle best practices.
- Participate in leadership meetings, provide insight on process improvement and efficiency, and collaborate with hospital finance.
- Monitor patient flow and manage financial case management for transplant recipients, donors, and related services.
- Review the transplant calendar and verify authorizations for upcoming recipients in collaboration with clinical teams.
- Work with coordinators and clinical teams to appeal denied services, resolve charge disputes, address billing issues and patient concerns, and arrange peer-to-peer conferences.
- Promptly document verification, pre-authorization, and communication activities.
- Perform other duties as requested by senior management.
Benefits
- UChicago Medicine provides a complement of benefit options for eligible roles; specific benefits are available through its benefits information.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
