Transplant Financial Coordinator - Cancer Center - Augusta

Wellstar Health System

About The Position

Coordinates patient financial services for the transplant program. Verifies insurance coverage for recipients and donors throughout transplant evaluation, the transplant event, and post-transplant financial needs. Educates patients about insurance benefits and financial matters related to transplantation, and helps address coverage gaps through alternative funding options. Works with government and private insurance companies on behalf of transplant patients.

Requirements

High school diploma or GED.
At least 2 years of experience in physician office or hospital scheduling/financial services, including insurance verification.
Computer literacy, strong organizational skills, and strong communication skills.
High knowledge of health insurance benefits, managed care, or reimbursement.

Nice To Haves

Transplant financial experience.

Responsibilities

Verify insurance coverage and benefits for transplant-related hospital, physician, pharmacy, and ancillary services.
Coordinate and initiate pre-certification and pre-authorization with the necessary parties.
Educate patients about transplant insurance coverage, including inpatient, outpatient, prescription, travel, and lodging coverage.
Serve as a resource for patients and family members on financial matters and identify alternative funding options when necessary.
Refer patients to appropriate external funding resources and collaborate with local and national resources for financial assistance or fundraising.
Follow documentation policies and procedures and applicable federal and state regulations related to Medicare, Medicaid, and health insurance coverage.
Complete documentation promptly, maintain HIPAA awareness, follow security policies, and update data in OTTR in a timely manner.
Maintain current knowledge of applicable insurance, benefits, coverage regulations, and transplant coverage from government and private payers.
Complete hospital-assigned education and competencies and participate in applicable program, cancer center, and hospital educational in-services.
Communicate professionally in writing and verbally, provide pertinent patient information to the multidisciplinary team, and obtain financial clearance and update insurance status changes as needed.
Use OTTR and the EMR appropriately to resolve financial issues and complete daily assignments.
Perform other duties as assigned and comply with Wellstar Health System policies, standards of work, and code of conduct.