FINANCIAL COUNSELOR II - SOLID ORGAN TRANSPLANT
Categories: Insurance / Billing
Department: Multiple Locations
Full/Part Time/PRN: Full-Time
Experience and Education
High school diploma with 5 years of financial counselor or equivalent experience or Bachelor's degree preferred and 1 year of financial counselor or equivalent experience.
Patient Financial Coordinators verify coverage and benefits and coordinate the financial process for all transplant candidates to ensure that UT Southwestern Medical Center (UTSW) referral, medical review and billing policies and procedures are followed.
Patient Financial Coordinators communicate financial clearance issues with insurance companies, benefit managers, employers, physicians, patients and families.
Patient Financial Coordinators offer work closely and provide educational assistance to other areas regarding the financial process for transplant patients and monitor for registration and billing errors.
Patient Financial Coordinators coordinate the ongoing pre-certification and approval process with insurance case managers to secure reimbursement for services provided.
Patient Financial Coordinators provide patient education regarding the financial approval process for transplantation and staff members are available to assist patients with the financial aspects of transplantation.
Patient Financial Coordinators meet with patients and their families to discuss potential out-of-pocket expenses relating to transplantation and assist in location of resources or assistance programs for which uninsured patients may be eligible.
Patient Financial Coordinators monitor transplant patient accounts to ensure they are registered correctly and research and resolve account problems when appropriate.
Patient Financial Coordinators document efforts through the established processes in Epic Phoenix to drive patient throughput. Patient financial coordinators keep detailed documentation of calls and activities on all transplant patients for recordkeeping and continuity in cross-coverage situations
Patient Financial Coordinators advise physicians and other medical staff regarding insurance benefit and financial clearance status of potential transplant patient recipients at transplantation selection committee meetings.
Patient Financial Coordinators comply with all commercial and government requirements for payment of transplant charges.
Patient Financial Coordinators coordinate financial/registration process for transplant cases, and coordinate the flow of information to the appropriate departments regarding transplant patients.
Patient Financial Coordinators routinely re-verify coverage for actively waitlisted patients to ensure they have adequate financial coverage in the event they are called in for transplant.
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. In accordance with federal and state law, the University prohibits unlawful discrimination, including harassment, on the basis of: race; color; religion; national origin; gender, including sexual harassment; age; disability; citizenship; and veteran status. In addition, it is UT Southwestern policy to prohibit discrimination on the basis of sexual orientation, gender identity, or gender expression.