Trans Financial Counselor I

Emory Healthcare•Atlanta, GA

18d

About The Position

Be inspired. Be valued. Belong. At Emory Healthcare At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, leadership programs And more Description RESPONSIBILITIES: Under direct supervision, ensures optimal insurance coverage and payments for all pre, transplantation, and post-transplant patient services for designated organ program. Obtains detailed patient insurance benefit information including, but not limited to: outpatient prescription drugs, organ acquisition, follow-up clinic visits, and travel and housing if necessary. Researches type of coverage, limitations and exclusions for appropriateness according to the transplant program financial criteria. Works collaboratively with the insurance companies to obtain authorization for a transplant and to identify out-of-pocket expense for the patient. Serves as a resource to transplant candidates with respect to alternate funding and choices of insurance coverage, i.e., Medicare and Medicaid eligibility, COBRA, Social Security Disability, retirement plan, etc.

Requirements

High school diploma required.
Three (3) years experience in healthcare patient financial services or insurance setting OR five (5) years experience in healthcare setting required.
Knowledge of Centers for Medicare and Medicaid Services regulations related to transplant services or obtain training within first 6 months of employment.

Nice To Haves

Third party payor experience preferred.

Responsibilities

Under direct supervision, ensures optimal insurance coverage and payments for all pre, transplantation, and post-transplant patient services for designated organ program.
Obtains detailed patient insurance benefit information including, but not limited to: outpatient prescription drugs, organ acquisition, follow-up clinic visits, and travel and housing if necessary.
Researches type of coverage, limitations and exclusions for appropriateness according to the transplant program financial criteria.
Works collaboratively with the insurance companies to obtain authorization for a transplant and to identify out-of-pocket expense for the patient.
Serves as a resource to transplant candidates with respect to alternate funding and choices of insurance coverage, i.e., Medicare and Medicaid eligibility, COBRA, Social Security Disability, retirement plan, etc.