Transplant financial Coordinator Lead

SSM Health • St. Louis, MO

2d • Hybrid

About The Position

Responsible for coordinating activities of financial coordinators in monitoring and verifying financial information to assure coverage for transplant. Keeps team informed regarding patients’ insurance coverage and necessary follow-up needed to verify and/or extend coverage. Performs duties in accordance with the Department’s Policies and Procedures and Service Standards.

Requirements

• Minimum of Three years of experience in insurance & Authorizations.
• Strong organizational Skills
• High School diploma/GED or 10 years of work experience

Responsibilities

• Coordinates operations of assigned activities, resources, and/or associates.
• Responsible for management, validation, and communication of all insurance aspects.
• Responsible for clinical Evaluation correspondence with payers.
• Coordinates insurance and billing payments and resolves financial issues with the Patient Billing Services, Professional Billing entities, and other applicable business units.
• Serves as primary customer service contact for all billing, registration, and insurance issues.
• Completes WQ activities to insure accountability needed for the Medicare Cost Report (MCR).
• Is required to attend various meetings with the physicians, administration, and staff to relay insurance information and to obtain any necessary information on potential patients coming into our system.
• Maintain knowledge of all acceptable local plans and specialty payers inclusive of transplant language.
• Performs other duties as assigned.

Benefits

• competitive pay
• great benefits
• supportive work environment
• competitive, affordable health insurance
• Paid Parental Leave: one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
• Flexible Payment Options: instant access to their earned, unpaid base pay (fees may apply) before payday.
• Upfront Tuition Coverage through FlexPath Funded

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED