Transplant Financial Coordinator

Transplant Financial Counselor

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.

High School Diploma or GED required.

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

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.