#99679 Transplant Financial Coordinator

Location
La Jolla, CA
Posted
May 25, 2019
Institution Type
Four-Year Institution

UCSD Layoff from Career Appointment: Apply by 05/28/2019 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.

Special Selection Applicants: Apply by 06/06/2019. Eligible Special Selection clients should contact their Disability Counselor for assistance.

DESCRIPTION

Incumbent is responsible for securing funding for transplant services. Responsibilities include financial screening, credit assessment for patients who lack third party coverage, development negotiation of payment or arrangements. Routinely confers with physicians, hospital administrators, contracting, payers and external agencies to develop and coordinate complex negotiations for reimbursement payment rates.

Responsible for activities which include compiling patient profiles for substantiation of patient's medical condition to justify specialized services. Produces monthly reports for administrative and clinical leaders responsible for specific programs. Monitors and tracks accounts to ensure that payers and patients have complied with established agreements. Works closely with transplant staff to educate members of contact specifics for individual patients.

MINIMUM QUALIFICATIONS
  • Bachelor's Degree in business, healthcare administration or related area; and/or equivalent experience/training.

  • A minimum of three (3+) or more years of relevant experience.

  • Demonstrated knowledge of medical terminology and coding.

  • Experience and proven success in billing and/or collections processes, concepts, systems and external regulations.

  • Working knowledge of healthcare and insurance authorization process and willing to train motivated candidate to the field of transplant finance.

  • Must have excellent telephone etiquette and ability to work with a diverse interdisciplinary team.

PREFERRED QUALIFICATIONS
  • Previous experience working in transplant to include: Front desk and/or transplant finance experience.
  • Previous experience working in the healthcare insurance industry.
SPECIAL CONDITIONS
  • Must be able to work various hours and locations based on business needs.
  • Employment is subject to a criminal background check and pre-employment physical.

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