Transplant Financial Coordinator
WVU Medicine
Transplant Financial Coordinator
WVU Medicine
Academic health system
MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. High school diploma or equivalent
EXPERIENCE:
1. Five (5) years of healthcare finance experience or bachelor’s degree with three (3) years of healthcare finance experience.
To be completed as established by department: (Administered at Department level)
1. CRCR certification through Healthcare Financial Management Association (HFMA.
2. Transplant Financial Coordinators Association (TFCA) membership.
PREFERRED QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Bachelor’s degree in business, health information, or related field
EXPERIENCE:
1. Five (5) years of financial counseling experience
2. Revenue cycle experience
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
1. Verify detailed patient insurance benefit information for all aspects of the transplant process, including but not limited to outpatient prescription drugs, living donor coverage, follow-up clinic visits, and travel/lodging if necessary.
2. Evaluate insurance status and determine whether COBRA insurance benefits or other financial resources will maximize reimbursement.
3. Identify and effectively communicate any potential out-of-pocket liability to patients and/or their family.
4. Contact commercial insurance companies to verify benefits and obtain prior authorization for transplant services.
5. Contact government insurance agencies to verify benefits and obtain prior authorization for transplant services.
6. Provide fund-raising information to patients regarding local and national fund-raising organizations.
7. Maintain membership with the National Transplant Financial Coordinators Association to receive updates on new transplant laws.
8. Determine and assess if patients’ medical services are transplant related and how benefits should be paid.
9. Review account claim errors pre-billing related to registration for all transplant related account to review for coordination of benefits, payer, and patient demographic accuracy to ensure prompt payment.
10. Review all self-pay donor statements to ensure correct billing to maintain Medicare regulation compliance.
11. Attend weekly departmental transplant meetings to discuss current and potential transplant patients.
12. Project a mature problem-solving response while dealing with interpersonal conflict, medically compromised individuals, dissatisfied patients, and stringent time demands.
PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an
employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Ability to sit for long periods of time.
2. Ability to lift, push or pull 10–15 pounds.
WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Standard office/clinic environment.
SKILLS AND ABILITIES:
1. Excellent written and communication skills
2. Oral and written communication ability to effectively represent the department and Hospital in interactions with third party payers, patients, physicians, and other departments. Ability to explain this analysis to a non-technical audience of both internal and external customers, including executive management.
3. Analytical and problem-solving skills as well as the ability to work and communicate effectively with other departments.
4. Ability to manage multiple tasks and projects in a fast-paced environment and forge strong interpersonal relationships within the department and with other departments
5. Ability to work independently on projects and add measurable value to the organization.
6. Extensive knowledge of personal computers and Microsoft Excel and Access software preferred.
7. Demonstrates knowledge of third-party payer regulations, revenue cycle functions, and electronic health records requirements.
9. Maintains current knowledge of performance improvement processes as it applies to health care.
Additional Job Description:
Scheduled Weekly Hours:
40Shift:
Exempt/Non-Exempt:
United States of America (Non-Exempt)Company:
WVUH West Virginia University HospitalsCost Center:
7850 WVUH Transplant AdminAddress:
1 Medical Center DriveMorgantownWest VirginiaEqual Opportunity Employer
West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.
Academic health system
WVUMedicine is an academic health system serving West Virginia and the surrounding region. The system operates hospitals, clinics, specialty programs, emergency care, research, and medical education through an integrated network. It serves patients, families, referring clinicians, students, researchers, and regional communities. Its operating model centers on clinical care, hospital operations, ambulatory services, education, research, and shared system support. Teams work across nursing, physicians, allied health, research, technology, facilities, administration, and patient services. Work depends on coordination among clinical, operational, technical, and support teams across its care settings and communities.
Explore more opportunities at WVU Medicine