Transplant Financial Coordinator

University of California • Los Angeles, CA

115d • $30 - $44

About The Position

The Senior Collections Rep (Transplant Financial Counselor) performs all admission functions including in-house financial management as well as provides leadership within his/her functional area. Responsible for verifying accurate demographic and financial information and knowledgeable in the review and interpretation of insurance benefits, performs financial counseling, financial screening, and credit assessment. Establishes all financial arrangements, refers appropriate cases to other agencies, internal and external, to assist patients with discharge/post hospital care. Interacts closely with Utilization Review and Patient Business Services to ensure correct and timely reimbursement.

Requirements

• Working knowledge of third party payer verification terminology.
• Working knowledge in the functional operations of third party payors and utilization review agencies.
• Working knowledge of State and Federal programs for reimbursement from Medicare, Medi-Cal, CCS programs, out-of-state Medicaid, or other sponsoring agencies.
• Working knowledge of health plans with special processing requirements for emergency patients.
• Ability to scrutinize credit reports and evaluate personal financial information.
• Ability to attend to many details within a short span of time.
• Knowledge of specific accommodations for patients on various nursing units.
• Skill in detecting erroneous data input affecting census system output.
• Working knowledge of HMO's and PPO's for calculating rates and discounts.
• Skill in computing ratios, rates, and percentages for estimated balances and patient liability.
• Skill in analyzing information and defining problems.

Nice To Haves

• Working knowledge of the department functions of an acute care hospital and their organizational interrelationships.
• Knowledge of physician team and specialty to validate medical services rendered to patients.
• Ability to monitor bed availability and communicate possible problems to appropriate departments.

Responsibilities

• Perform all admission functions including in-house financial management.
• Verify accurate demographic and financial information.
• Review and interpret insurance benefits.
• Perform financial counseling, financial screening, and credit assessment.
• Establish all financial arrangements for patients.
• Refer appropriate cases to other agencies for assistance with discharge/post hospital care.
• Interact closely with Utilization Review and Patient Business Services to ensure correct and timely reimbursement.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Educational Services