Transplant Financial Coordinator at University of Maryland Medical System in Baltimore, Maryland

Job Title

Job Requirements

Responsibilities

Interview transplant candidates to assess insurance coverage and eligibility for financial assistance programs

Verify insurance benefits, process authorizations, and resolve coverage barriers including identifying alternative financial aid or charity programs

Schedule inpatient and outpatient admissions; register patients and create hospital accounts for procedures and diagnostic tests

Educate patients on insurance coverage, billing requirements, and self-pay responsibilities

Maintain and update transplant database with authorization numbers, patient financials, and key billing information

Develop and maintain financial reference guides including payer-specific policies, reimbursement guidelines, and state/federal regulations

Communicate coverage issues to transplant clinical staff and collaborate to resolve

Participate in transplant team meetings to present payer requirements and financial concerns

Develop letters of medical necessity and respond to third-party payer requests for additional information

Perform charge entry for national donor programs and ensure accurate billing across all transplant phases

Complete billing attachments for managed care global contracts

Maintain communication with Managed Care/Contracting to identify and process contract patients

Develop and maintain workload volume reports as requested

Serve as a resource for departments within and outside the Cancer Center or Transplant Center

Cross cover for vacancies and assume additional workload as needed

Performs other duties as assigned

Work Experience

Education & Experience

High School Diploma or GED required

Minimum 3 years of financial counseling experience in a hospital or healthcare setting

Knowledge, Skills & Abilities

Knowledge of insurance verification and hospital registration systems

EPIC experience preferred

Strong written and verbal communication skills

Proficient in word processing, database software, and basic computer operation

Ability to serve diverse patient populations with understanding of growth and development across the lifespan