Transplant Financial Specialist | FT | Days | University

Methodist Le Bonheur Healthcare • Memphis, TN

7d • Onsite

About The Position

Manages accounts and analyzes coverage for all areas associated with the Transplant Unit to ensure that maximum reimbursement is received from third party payers and self-pay accounts. Models appropriate behavior as exemplified in MLH Mission, Vision and Values. Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence.

Requirements

• High School Diploma or Equivalent
• Progressive insurance 3-5 years
• Extensive knowledge of patient accounting, credit, insurance procedures, and coverage.
• Proficient in systems software applications, to include Excel, Word, Microsoft Office, etc.
• Ability to communicate verbally and in writing with all levels of Associates and management, possibly in an adversarial setting.
• Must have the ability to learn the fundamental concepts of the practices and procedures associated with transplants.
• Ability to set priorities coordinates multiple tasks, organize tasks, and maintain control of workflow.

Nice To Haves

• Bachelor's Degree Accounting
• Bachelor's Degree Finance

Responsibilities

• Meets and consults with patients to determine insurance coverage and to explain costs of the transplant program.
• Assists patient in securing financial resources.
• Verifies patient’s insurance coverage and benefits.
• Coordinates with others in department regarding coverage.
• Acts as liaison with Social Services to work out housing, payment, and other financial issues.
• Works with insurance companies to arrange for insurance coverage.
• Obtains insurance authorization and best benefit within managed care guidelines.
• Maintains records of insurance and financial contracts within the Meditech System.
• Provides information on number of evaluations and listings.

Benefits

• The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work.

What This Job Offers

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