Transplant Financial Coordinator

R1 RCM • Murray, UT

19h • $21 - $29

About The Position

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Transplant Financial Coordinator, you will ensure the financial feasibility of organ transplants while minimizing risks for Intermountain Healthcare. Your role involves analyzing financial information, reviewing patient benefits and liabilities, and securing financial approval for procedures. You will counsel patients on financial considerations throughout their care journey and recommend coverage plans tailored to their needs. Collaborating with a multidisciplinary team, including physicians, nurses, and social workers, you will help deliver exceptional care while addressing financial complexities. Here’s what you will experience working as a Transplant Financial Coordinator:

Requirements

• Ideally 2 years’ experience in a financial role (financial counseling, etc.) or 2 years of health insurance related experience (billing, authorizations, etc.).
• Customer service experience preferably in healthcare or financial related field.
• Demonstrated outstanding public relations and interpersonal skills by maintaining supportive interpersonal relationships with caregivers, patients, families, sponsors and team members.
• Organized.
• Multi-tasker, able to complete work timely and accurately.
• Self-starter and team oriented, flexibility to adapt to change, ability to work with minimal supervision.

Responsibilities

• Review benefit requirements and start the request for authorization approval for the transplant evaluation, admission, clinic visits, work-up and testing, organ procurement, and post-transplant services.
• Review benefits for appropriate coverage for services.
• Review contracts and obtain clarification from contracting as needed.
• Meet with patients and family members at the time of transplant evaluation; explain to the patients the anticipated costs of transplant services and patient responsibilities (i.e. post-transplant meds); help patients and families create a financial plan when benefits are not sufficient to cover transplant costs.
• Coordinate with Intermountain Contracting Services to create single case agreements for self-funded or international patients.
• Coordinate with Intermountain transplant clinical teams, social workers, etc., the patient’s financial situation, expected coverage and out of pocket expenses, additional funding sources as well as any potential concerns.
• Interact with transplant clinical staff and patients to obtain patient demographics to begin the insurance verification process.
• Provide continuous financial counseling based on the patient’s benefits and calculate the estimated post insurance expenses for the patient.
• Follows transplant policies and procedures as they relate to obtaining the financial approval.
• Coordinates these policies and procedures and works closely with the transplant billing team to ensure compliance.
• Help coordinate referrals to external transplant programs when the patient’s insurance is out of network.
• Review and resolve any issues related to the patient’s insurance coverage.

Benefits

• On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.
• Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world.
• We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed