Transplant Financial Coordinator

CommonSpirit HealthSeattle, WA
Onsite

About The Position

Virginia Mason Franciscan Health brings together two award winning health systems in Washington state - CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan Health you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region. Job Summary and Responsibilities As our Transplant Financial Coordinator, you will manage complex financial aspects of organ transplantation, guiding patients through costs and ensuring financial clearance. You serve as a crucial liaison between patients, insurers, and the transplant team. Daily, you'll verify insurance, secure pre-authorizations, counsel patients financially, and assist with aid applications. Collaborating with the transplant team and payers, you'll streamline processes and resolve issues, fundamentally reducing financial barriers for transplant candidates. Success demands a clear understanding of medical billing and coding. Exceptional analytical skills, meticulous attention to detail, persuasive communication, and unwavering patient advocacy are crucial for navigating benefit plans, securing approvals, and supporting patients through this life-changing medical journey.

Requirements

  • High school diploma or GED
  • A minimum of five (5) years experience in outpatient group medical practice and/or inpatient acute care setting, with progressively increasing scope of administrative experience and responsibilities, including patient intake, medical terminology, CPT & ICD coding, third party payer referrals and authorizations, third party payer billing and reimbursement, and managed care experience
  • Knowledge of federal and state End Stage Renal Disease (ESRD) financial and regulatory guidelines
  • Strong organizational, analytical and problem-solving skills
  • The ability to communicate effectively
  • Proficiency in software applications

Nice To Haves

  • Bachelor's degree
  • Proficiency in Medicare cost reporting, especially organ acquisition Medicare cost reporting
  • Transplant administrative experience
  • IDX Billing Accounts Receivable (BAR), IDX Hospital Patient Accounts Billing System (HPA)
  • Accredited Record Technician (ART) and/or Registered Record Administrator (RRA)

Responsibilities

  • Manage complex financial aspects of organ transplantation, guiding patients through costs and ensuring financial clearance.
  • Serve as a crucial liaison between patients, insurers, and the transplant team.
  • Verify insurance, secure pre-authorizations, counsel patients financially, and assist with aid applications.
  • Collaborate with the transplant team and payers to streamline processes and resolve issues, reducing financial barriers for transplant candidates.
  • Navigate benefit plans, secure approvals, and support patients.
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