Financial Clearance Specialist II

Description:
Please provide the following information in the Fieldglass Comments section. This information should not be included on the candidate's resume.
Candidate location (city/state)
Current status and reason for seeking a new role
Onsite/work expectations confirmation
Skill alignment to the role
Availability / notice period
Prior experience (if applicable)
Planned time off

Assignment Information
Medical Enterprise: Keck Medicine of
Department: Transplant Financial
PCC/RMG #: 23919 Heart TFC
Cost Center: 1726-7028
Assignment Details

Job Title: Transplant Financial Coordinator
Number of Openings: 1
Work Location: 2011 N. Soto Street, Suite 2450, Los Angeles, CA
Work Arrangement: 100% Onsite
Target Start Date: ASAP

Reserved for highly qualified candidates who are bilingual in English and Spanish.
Assignment Duration: PCCs are approved in 13-week increments. While there are no guarantees, this assignment is expected to extend beyond the initial 13 weeks, with an estimated duration of 1624 weeks. There may also be the potential for a longer-term opportunity based on business needs and performance.
Dress Code: Business Casual
Parking: Free employee parking
Interview Process: 2 Step Team interview process or In-Person

Job Summary
This position is responsible for insurance verification and authorization processing for transplant patients.

Must Haves
Professional appearance with excellent communication skills.
Hospital or clinical healthcare experience.
Working knowledge of medical insurance verification and authorization processes.
Strong computer and data entry skills.
Transplant financial experience is strongly preferred, with Heart Transplant experience highly preferred.
Experience in the medical field, including transplant and transplant finance, is preferred.

Education:
High School Diploma or equivalent required.
Associate's Degree in a related field preferred.
An Associate's Degree may be substituted with two (2) years of financial experience, with at least one (1) year of transplant financial experience.
Preferred Qualifications (Nice to Have)

Bilingual fluency is strongly preferred.

Job Summary
This position is responsible for insurance verification and authorization processing for transplant patients.
Under the direction of the Transplant Financial Coordinator Supervisor, the Transplant Financial Coordinator (TFC) is a key member of the multidisciplinary transplant team. The TFC is responsible for ensuring transplant patients receive financial clearance by verifying insurance benefits, obtaining authorizations, counseling patients regarding insurance coverage, and providing guidance when coverage has lapsed or is insufficient.
The coordinator will analyze complex insurance information, communicate financial requirements to patients and staff, resolve insurance-related issues, and support process improvements that enhance patient care. The role requires excellent analytical, organizational, verbal, and written communication skills, along with the ability to quickly learn hospital and transplant-related systems.
Candidate Selling Points
This is a unique opportunity to join one of the nation's leading transplant programs at Keck Medicine of . Unlike many healthcare organizations, Keck performs highly specialized transplant procedures, allowing candidates to gain valuable experience in a niche area of healthcare finance.
This role offers the opportunity to develop expertise in transplant financial coordination, insurance navigation, and multidisciplinary patient care. Candidates who perform well may also have the opportunity to be considered for future long-term or permanent employment opportunities as business needs allow.

Background Check Progress:
Please keep us updated, as this information is vital for the PMO to maintain effective communication with the Hiring Manager and make any necessary adjustments to the start date if necessary.

Medical Enterprise - Non-Clinical Onboarding - Must complete all onboarding requirements prior to the start date, with no exceptions.

Medical Enterprise - Non-Clinical Onboarding Requirements:
Background, Education, and Employment
Background Check:
Social Security Trace: 7 years worked and lived found by SSN Trace
County Criminal F&M: 7 years
Federal Criminal: 7 years
Widescreen Plus National Criminal Search
National Sex Offender Registry
Healthcare Sanctions State
OIG/SAM

Education:
HS Diploma (or equivalent GED)

Employment:
Verification of 3 Employers, with 2 out of 3 verified

Other Requirements:
HIPAA Training
Application
Temporary Worker Agreement
Harassment & Discrimination Pamphlet

Medical Requirements:
Immunizations:
MMR (Measles, Mumps, Rubella): Proof of immunity or series of 2 shots
Varicella (Chickenpox): Proof of immunity or series of 2 shots
Hepatitis B: Proof of immunity or series of 3 shots; worker can decline with a declination form on file

TB Test:
Annual test required; results must be read within 24 to 48 hours
Positive TB history requires chest x-ray results

Drug Screen:
Must be taken within 72 hours or the offer is rescinded.
10-panel drug test including:
Amphetamines
Barbiturates
Benzodiazepines
Cocaine metabolite
Opiates (Codeine, Morphine)
Hydrocodone
Hydromorphone
Oxycodone
Phencyclidine
Methadone
Propoxyphene

Influenza Vaccination:
Required for the current flu season (11/1 through 5/30)
Workers starting after May 1st should wait until after September 1st for the next flu shot season
Accepts signed personal/medical exemption

COVID Vaccinations:
Fully vaccinated with Covid-2024-25 Vaccine
Accepts signed religious/medical exemption

Note:
All items are billable except for the drug screen.
Qualified Applicants with arrest or Conviction records will be considered for Employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act