Transplant Financial Counselor - Transplant Marrow

Responsibilities

• Met with transplant candidates and/or families to explain insurance coverage, treatment costs, and hospital billing policies.
• Ensures that adequate insurance benefits or funding arrangements are in place prior to transplant.
• Provides quality service to patients by offering comprehensive and ongoing financial counseling.
• Serves as a resource to transplant candidates, their families, and living donors regarding transplant payor benefits, billing issues, alternative funding options, and personal financial responsibilities related to the transplant.
• Identifies administrative and financial issues involving reimbursement for transplant-related services.
• Interfaces with transplant candidates and their families, transplant teams, third-party payors, relevant internal departments, and other clinical and administrative staff.
• Develops and recommends procedures associated with transplant-related administrative and fiscal matters.
• Aids transplant candidates in meeting expenses for transplants through fundraising, completion of Medicare/Medicaid/disability applications, indigent funding, and other available resources.
• Verifies the accuracy and completeness of relevant financial, insurance, and demographic information for transplant-related outpatient encounters and inpatient transplant admissions to ensure that accounts are secure prior to discharge.
• Obtains all necessary information required by payors for approval of different phases of transplantation, including benefit verification, payor authorization, referrals, pre-certification, and case management.
• Develops and recommends administrative and fiscal procedures associated with transplantation.

Qualifications

To be considered for this position, you must have:

• A degree (Associate's or Bachelor's) and two (2) years of experience in medical or third-party billing.
• Knowledge, skills, and abilities as outlined in the Job Summary.