Patient Access Financial Counselor | Admitting Department | Full time | Day Shift

UF Health•Gainesville, FL

About The Position

The Transplant Financial Coordinator mitigates financial risk to UF Health by completing accurate financial clearance reviews and performing comprehensive analyses of patient- and payer-specific benefits and liabilities.

Requirements

High school graduate or equivalent required.
Minimum 1 year of experience as an Inpatient Financial Representative at a Transplant Facility, OR
3 years of experience as a Financial Representative in a hospital facility.
Working knowledge of medical and insurance industry terminology is required.
Proven ability to perform multiple tasks simultaneously and respond effectively to changing priorities.
Ability to make timely and accurate judgment decisions.
Strong communication skills, including exceptional verbal, written, and analytical abilities.
Capacity to work independently without direct supervision.
Proficiency with standard software applications and the ability to work with multiple computer systems.
Must demonstrate adaptability, tact, and the ability to work well under pressure.
Must understand the importance of a “first impression” role and maintain appropriate professional dress, attitude, and demeanor.

Nice To Haves

College degree or related coursework preferred.
CPAT certification preferred.

Responsibilities

Financial Clearance & Risk Mitigation
Conducts thorough financial clearance reviews.
Analyzes patient and payer benefits to determine patient liability and minimize financial risk to the organization.
Management of Transplant Accounts
Manages high-dollar transplant patient accounts, including pre- and post-transplant episodes of care for both hospital and physician groups.
Interdisciplinary Team Participation
Represents the Financial Services Division as an active member of transplant teams.
Provides financial perspectives necessary for treatment decisions.
Communicates directly with physicians, clinic support staff, and the Medical Review Board.
Makes recommendations based on financial assessments.
Payer Negotiations & Authorization Management
Negotiates payment approvals with third-party payers by analyzing individual plan benefits.
Provides clinical information to medical and transplant case managers to secure pre-approvals for all episodes of treatment, including: Hospital-to-hospital transfers
Transplant evaluations
High-tech radiology
UNOS listing
Transplant surgery
Post-transplant follow-up care
Coordinates peer-to-peer reviews as needed.
Patient Financial Counseling & Assistance
Determines patient ability to pay and negotiates deposits or payment plans.
Calculates patient financial responsibility and provides cost estimates.
Explores and coordinates alternative funding sources, including community fundraising and government programs.
Conducts in-depth, face-to-face financial interviews to develop strategies for lifelong financial security.
Regulatory & Program Support
Reviews government programs and legislation affecting transplantation reimbursement; reports on impacts to the team.
Supports maximum reimbursement efforts for both hospital and physician groups.
Serves as a financial liaison between transplant clinics and patients/families throughout the transplant process.
Collaboration & Meetings
Participates in regulatory and operational meetings with the Financial Supervisor/Manager, Transplant Director, Transplant Managers, Managed Care, and other transplant department members.