Heart Transplant Finance Coordinator

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. The Heart Transplant Financial Coordinator supports the financial operations of a complex transplant program. This role includes securing and maintaining insurance authorizations, managing invoices for donor organs and related services, and monitoring work queues to ensure billing accuracy and compliance. The position also provides oversight, education, and support for billing, referrals, and authorizations while handling essential administrative responsibilities. This role works closely with patients and families to identify financial resources, including fundraising and grant opportunities, helping reduce barriers to care. The coordinator engages with patients across pre- and post-transplant phases and may support those on mechanical circulatory devices. As part of a multidisciplinary team, this position ensures coordinated care, financial clearance, and patient access in a full-time, on-site role at Beth Israel Deaconess Medical Center in Boston, Massachusetts, with responsibilities reflecting the general scope of the position. Job Description Primary Responsibilities Establishes and maintains effective policies and procedures for managed care referrals, authorizations, revenue cycle, and co-payment collection. Ensures that all visits in the department that require a managed care referral or authorization have one obtained or that a waiver is signed. (essential) Works collaboratively with physicians, patients, and staff to coordinate and process all managed care-related work in compliance with contractual rules and arrangements for multiple managed care organizations. Serves as the primary resource on all departmentally managed care matters. (essential) Develops, implements and monitors departmental referral and authorization management work and reports findings on a regular basis. Attends all relevant meetings on these topics, insurance meetings and other as a representative of the Department as requested. (essential) Maintains database of current referral and authorization plan rules and regulations for all managed care plans. Assures the distribution and training of same. Participates in administrative meetings and provides feedback to all staff who participate in workflow related to front-end/referral/managed care. (essential) Attends Committee meetings. Disseminates information from committee meetings to staff, as appropriate. Implements actions related to the committee work, including preparation and presentation of reports. (essential) Educates and trains administrative assistants and practice assistants in the areas of referral management, pre-registration and scheduling. Coordinates the training of new administrative staff in the department and provides on-going training as needed. (essential) Compiles monthly reports and submits to billing companies for reconciliation. Oversees non-billed charges with physician and administrative staff for to ensure that all charges are billed. Processes the edit in the work file and review division work files on a weekly and/or monthly basis. (essential) Prints and reviews reports and contacts staff regarding late data entry. Manages encounter form volumes and orders in a timely manner. Works collaboratively to update encounter form and manage paper workflow. Prepares reports and statistics for physician meetings as instructed manager. (essential) Coordinates and prepares of TES/Medicode edits for compliance with IDX work files. Submits request forms to update VTE, 'eTicket' fees and edits, including completed provider applications for Out of State Medicaid. Prints and monitors physicians' unsigned notes and reports findings to manager. Prints and monitors the inpatient census report. Reconciles billing data. (essential) Required Qualifications High School diploma or GED required. 3-5 years related work experience required. Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access. Competencies Decision Making : Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance. Problem Solving : Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents. Independence of Action: Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager. Written Communications: Ability to communicate clearly and effectively in written English with internal and external customers. Oral Communications: Ability to comprehend and converse in English to communicate effectively with medical center staff, patients, families and external customers. Knowledge: Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations. Team Work: Ability to work collaboratively in small teams to improve the operations of immediate work group by offering ideas, identifying issues, and respecting team members. Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations. Pay Range $30.45 - $40.98 The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled #J-18808-Ljbffr Beth Israel Lahey Health