Senior Transplant Financial Coordinator, High Dose Chemotherapy - Full-Time, Days

The University of Chicago Medicine • Chicago, IL

11d

About The Position

Join a world-class academic healthcare system, UChicago Medicine, as a Transplant Financial Specialist in the High Dose Chemotherapy Department. In this role, as a Sr. Transplant Financial Coordinator, you will manage all financial aspects related to Transplant clearance regarding all aspects of stem cell and bone marrow transplant. Your responsibilities include conducting thorough reviews of insurance benefits, covering transplant services, coverage limits, and maximums. Additionally, you will oversee account maintenance for transplant recipients and living donors in transplant, if applicable. In this role, you will also perform financial and administrative tasks for patients accessing ancillary services related to transplant, such as dental care, pharmacy coverage, travel and lodging benefits, and home and health rehabilitation. As a Sr. Transplant Financial Coordinator, you are responsible for monitoring the flow of revenue generated not only by the transplant recipient but also by any donor-related charges associated with that recipient. This position involves extensive utilization of the hospital’s revenue systems and clear communication of the patient’s financial status with the clinical team – including patients, physicians, nurses, insurance companies, donors and other hospital staff – at every phase. You will collaborate with these stakeholders to address and escalate referral, authorization, and coverage issues, especially if any phase of the services needs to be temporarily deferred.

Requirements

• Bachelor’s degree or equivalent with 8 years of experience working in medical insurance verification and/or healthcare finance areas
• Minimum of 10 years related healthcare registration, billing and/or reimbursement experience
• Advanced understanding of financial clearance in healthcare setting is
• Proficiency in Microsoft Office and Epic systems
• Advanced insurance authorization and registration techniques
• Background in medical terminology
• Website Insurance Training (OneSource, Availity, Connex)
• EPIC training & testing (Phoenix for solid organ candidates)
• Ability to register patients rapidly and accurately
• Strong communication skills and must be able to communicate courteously and effectively with physicians, patients, and staff
• Ability to prioritize and work on several projects at once while maintaining communication with all invested parties
• Ability to complete multiple tasks and work under pressure and in stressful situations
• Ability to quickly learn new procedures
• Ability to display compassion and empathy
• Ability to maintain confidentiality of patient information

Nice To Haves

• Strong coding and billing experience or financial counseling background preferred
• Certified Revenue Cycle Representative (CRCR)certification preferred

Responsibilities

• Receive transplant cases from the clinical team and conducting detailed reviews of insurance eligibility, coverage, and transplant benefits.
• Pursues insurance approvals by submitting the required medical documentation for each phase, including evaluation, donor search, workup, and post-transplant follow-up.
• Provides financial counseling to patients via in-person rounding with physician team and meeting with patients to provide Medicaid applications and teaching, as applicable.
• Manages account work queues to identify and correct potential billing errors, including ensuring accurate transplant plan codes, coverage, and effective term dates
• Coordinates with the clinical team to appeal denied services, resolve charge disputes, billing issues, and patient concerns, including arranging peer-to-peer conferences. Document all aspects of verification, pre-authorization, and communications promptly.
• Assists in training and mentoring staff; Helps develop and maintain training materials and resources
• Provides escalation support for complex cases, including Transplant/IV therapy authorizations
• Contributes to quality and process improvement initiatives by participating in patient selection meetings and multidisciplinary rounds
• Performs other duties as requested by senior management

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Number of Employees: 5,001-10,000 employees